Provider Demographics
NPI:1033382346
Name:BUESCHER, ELIZABETH ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:BUESCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 RACE ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3518
Mailing Address - Country:US
Mailing Address - Phone:408-278-3000
Mailing Address - Fax:650-327-2794
Practice Address - Street 1:455 O'CONNOR DRIVE
Practice Address - Street 2:SUITE 370
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1600
Practice Address - Country:US
Practice Address - Phone:408-831-5720
Practice Address - Fax:408-831-5781
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115930207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHK243ZMedicare PIN