Provider Demographics
NPI:1891082996
Name:BUZYDLOWSKI, BRENDA ANN (DO)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:ANN
Last Name:BUZYDLOWSKI
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1648 HUNTINGDON PIKE
Mailing Address - Street 2:MEDICAL STAFF OFFICE 1ST FLR
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8001
Mailing Address - Country:US
Mailing Address - Phone:215-938-3450
Mailing Address - Fax:215-938-3829
Practice Address - Street 1:8580 VERREE RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-1370
Practice Address - Country:US
Practice Address - Phone:215-214-3815
Practice Address - Fax:215-214-3816
Is Sole Proprietor?:No
Enumeration Date:2011-07-09
Last Update Date:2021-06-18
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Provider Licenses
StateLicense IDTaxonomies
PAOS016324207RH0002X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine