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Individual

DR. BURAK GUMUSCU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
5855 BREMO ROAD, MOB NORTH,, SUITE 703, RICHMOND, VA 23226-1934
(804) 281-8182
Mailing address
5855 BREMO ROAD, MOB NORTH,, SUITE 703, RICHMOND, VA 23226-1934
(804) 281-8182
(804) 281-8263

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5154
NE
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101255153
VA
2080P0207X
Pediatric Hematology & Oncology Physician
ME114429
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007278700
FL
01
C06778
GROUP PTAN
VA
Enumeration date
04/27/2007
Last updated
12/15/2014
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