Provider Demographics
NPI:1902809593
Name:BUZNEY, SHELDON MARC (MD)
Entity type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:MARC
Last Name:BUZNEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:28 HUCKLEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-3509
Mailing Address - Country:US
Mailing Address - Phone:617-864-6350
Mailing Address - Fax:617-864-6437
Practice Address - Street 1:422 WORCESTER ST
Practice Address - Street 2:SUITE 301
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-5341
Practice Address - Country:US
Practice Address - Phone:781-772-1791
Practice Address - Fax:781-489-5315
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2022-09-16
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Provider Licenses
StateLicense IDTaxonomies
MA39203174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA54270Medicare UPIN