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General NPI Number Information
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NPI Number | 1205016169
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Entity Type | Organization
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Legal Business Name | JOHN E BUBSER DPM PA
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 8700 CENTRAL AVE SUITE 105
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City | LANDOVER
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State | MD
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Zip | 20785-4831
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Country | US
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Telephone | 301-499-3338
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Fax | 301-499-1266
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Provider Business Mailing Address
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Address Line | 8700 CENTRAL AVE SUITE 105
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City | LANDOVER
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State | MD
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Zip | 20785-4831
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Country | US
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Telephone | 301-499-3338
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Fax | 301-499-1266
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN BUBSER JR.
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Credential | DPM
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Telephone | 301-499-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01202
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License Number State | MD
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