Provider Demographics
NPI:1841354511
Name:BRIAN R BUINEWICZ MD PC
Entity type:Organization
Organization Name:BRIAN R BUINEWICZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUINEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-230-4013
Mailing Address - Street 1:3655 ROUTE 202
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-6601
Mailing Address - Country:US
Mailing Address - Phone:215-230-4013
Mailing Address - Fax:215-230-4143
Practice Address - Street 1:3655 ROUTE 202
Practice Address - Street 2:SUITE 225
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-6601
Practice Address - Country:US
Practice Address - Phone:215-230-4013
Practice Address - Fax:215-230-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0369192086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty