MEDICARE: ANA CRISTINA BUSQUETS 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	207N00000X	Dermatology Physician	35086181	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831203538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA CRISTINA BUSQUETS MD

Provider Business Mailing Address
First Line	:	651 COLLIERS WAY STE 300
Second Line	:
City	:	WEIRTON
State	:	WV
Zip	:	26062-5058
Country	:	US
Telephone Number	:	304-797-6404
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 ROBINSON PLZ STE 410
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-1018
Country	:	US
Telephone Number	:	412-857-2609
Fax Number	:

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	11/24/2020

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