Provider Demographics
NPI:1427309210
Name:BUXBAUM, ERIC JUSTIN (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JUSTIN
Last Name:BUXBAUM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1505 W SHERMAN AVE
Mailing Address - Street 2:BOX 93
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6912
Mailing Address - Country:US
Mailing Address - Phone:856-641-8661
Mailing Address - Fax:856-575-4944
Practice Address - Street 1:1505 W SHERMAN AVE
Practice Address - Street 2:BOX 93
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6912
Practice Address - Country:US
Practice Address - Phone:856-641-8661
Practice Address - Fax:856-575-4944
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10384100207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery