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NPI Code Detail

MEDICARE: LEE M BUONO MD

MEDICARE:   LEE M BUONO  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
1207T00000XNeurological Surgery PhysicianL7319TX
2207T00000XNeurological Surgery PhysicianMD070105LPA
3207T00000XNeurological Surgery Physician25MA08685200NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16P00062282OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
382627OTHERARBLUE CROSS ARKANSAS
4179117500OTHERU S DEPT OF LABOR
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
718383000000OTHERARQUALCHOICE
882627OTHERARBLUE CROSS
982627OTHERFIRST PYRAMID LIFE
10MDL7319OTHERWORKERS' COMPENSATION
118K5493OTHERTXBLUE CROSS TEXAS
12169004201OTHERINDIGENT HEALTH CARE
135575000001OTHERTXCIGNA GOVERNMENT SRV
148K5493OTHERTXBLUE CROSS
151871793307OTHERTXCIGNA DME#

General Provider Information

NPI Number : 1134121981
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE M BUONO MD
Provider Business Mailing Address
First Line : 2 CAPITAL WAY STE 456
Second Line :
City : PENNINGTON
State : NJ
Zip : 08534-2521
Country : US
Telephone Number : 609-537-7300
Fax Number : 609-537-7301
Provider Business Practice Location Address
First Line : 2 CAPITAL WAY
Second Line : SUITE 456
City : PENNINGTON
State : NJ
Zip : 08534-2521
Country : US
Telephone Number : 609-537-7300
Fax Number : 609-537-7301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 04/26/2021

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Directions to “ LEE M BUONO MD” Practice Location

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