Provider Demographics
NPI:1659389781
Name:BUSCARINI, MAURIZIO (MD)
Entity Type:Individual
Prefix:
First Name:MAURIZIO
Middle Name:
Last Name:BUSCARINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 MADISON AVE RM 409
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-3403
Mailing Address - Country:US
Mailing Address - Phone:901-448-7026
Mailing Address - Fax:901-448-1122
Practice Address - Street 1:910 MADISON AVE RM 409
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3403
Practice Address - Country:US
Practice Address - Phone:901-448-7026
Practice Address - Fax:901-448-1122
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL16539208800000X
TN59674208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology