Basic Information
Provider Information
NPI: 1265435804
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUESCHER
FirstName: TERESA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2300 M ST NW
Address2: 6TH FLOOR
City: WASHINGTON
State: DC
PostalCode: 200371434
CountryCode: US
TelephoneNumber: 2027413245
FaxNumber: 2027413603
Practice Location
Address1: 2300 M ST NW
Address2: 6TH FLOOR
City: WASHINGTON
State: DC
PostalCode: 200371434
CountryCode: US
TelephoneNumber: 2027413245
FaxNumber: 2027412594
Other Information
ProviderEnumerationDate: 05/27/2005
LastUpdateDate: 11/03/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208200000XD 36808MDY Allopathic & Osteopathic PhysiciansPlastic Surgery 

No ID Information.


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