Basic Information
| Provider Information | |||||||||
| NPI: | 1730409475 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUISSON | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | FABIOLA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 285 E STATE ST STE 670 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432154360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145668270 | ||||||||
| FaxNumber: | 6145668073 | ||||||||
| Practice Location | |||||||||
| Address1: | 113 14TH ST | ||||||||
| Address2: | |||||||||
| City: | HOBOKEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070305545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016568353 | ||||||||
| FaxNumber: | 2016568116 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2010 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 99999 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.