Provider Demographics
NPI:1316193923
Name:SHELDON M. BUZNEY, M.D.
Entity Type:Organization
Organization Name:SHELDON M. BUZNEY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUZNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-864-6350
Mailing Address - Street 1:2285 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1260
Mailing Address - Country:US
Mailing Address - Phone:617-864-6350
Mailing Address - Fax:617-864-6437
Practice Address - Street 1:2285 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1260
Practice Address - Country:US
Practice Address - Phone:617-864-6350
Practice Address - Fax:617-864-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39203207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty