MEDICARE: DR. ANDREI BUNA M.D.

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	207V00000X	Obstetrics & Gynecology Physician	25MA044041	NJ

General Provider Information

NPI Number	:	1043309081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREI BUNA M.D.

Provider Business Mailing Address
First Line	:	3 FERNHOLLOW RD
Second Line	:
City	:	BOONTON
State	:	NJ
Zip	:	07005-9425
Country	:	US
Telephone Number	:	973-331-9467
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 ROUTE 10 W
Second Line	:	SUITE 1
City	:	RANDOLPH
State	:	NJ
Zip	:	07869-2141
Country	:	US
Telephone Number	:	973-328-1262
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/08/2007

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