Provider Demographics
NPI:1639279938
Name:BUENO, REUBEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:REUBEN
Middle Name:A
Last Name:BUENO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4821 MONTGOMERY LN
Mailing Address - Street 2:#403
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3471
Mailing Address - Country:US
Mailing Address - Phone:301-951-5885
Mailing Address - Fax:202-745-8293
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8296
Practice Address - Fax:202-745-8293
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0056292208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery