Individual provider · NPI-1
Dr. Alexander Buslov, MD
Psychiatry & Neurology, Neurology · Neptune, NJ
NPI number1285292755
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1285292755
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexander Buslov
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2019
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 25MA12284500 | NJ | Yes |
Practice location
1945 Route 33Neptune, NJ 07753
Phone 732-897-3600 · Fax 732-897-3660
Mailing address
331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
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