MEDICARE: MAURIZIO BUSCARINI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	LL16539	OR
2	208800000X	Urology Physician	59674	TN

General Provider Information

NPI Number	:	1659389781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURIZIO BUSCARINI MD

Provider Business Mailing Address
First Line	:	910 MADISON AVE RM 409
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-3403
Country	:	US
Telephone Number	:	901-448-7026
Fax Number	:	901-448-1122

Provider Business Practice Location Address
First Line	:	910 MADISON AVE RM 409
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-3403
Country	:	US
Telephone Number	:	901-448-7026
Fax Number	:	901-448-1122

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	02/19/2020

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