Individual provider · Type 1 NPI

Nicolas Bustamante, MD

Student in an Organized Health Care Education/Training Program · Hershey, PA

NPI number 1467717744 Active

Practice location

500 University Dr, Family And Community Medicine
Hershey, PA 17033-2360

Fax (717) 270-1958

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT202864 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467717744

Nicolas Bustamante, MD's National Provider Identifier is 1467717744, issued on Jul 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hershey, PA. The record was last updated on Jul 12, 2012.