Provider Demographics
NPI:1063637692
Name:HOWARD M BUSCH DO PA
Entity Type:Organization
Organization Name:HOWARD M BUSCH DO PA
Other - Org Name:FAMILY ARTHRITIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-747-1987
Mailing Address - Street 1:12977 SOUTHERN BLVD BLDG 5
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9255
Mailing Address - Country:US
Mailing Address - Phone:561-798-8184
Mailing Address - Fax:561-793-2588
Practice Address - Street 1:12977 SOUTHERN BLVD BLDG 5
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9255
Practice Address - Country:US
Practice Address - Phone:561-798-8184
Practice Address - Fax:561-793-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40291OtherMEDICARE - GROUP
FL139729Medicare UPIN
FL0397770001Medicare NSC
FLD60770Medicare UPIN