Individual
CARL BUISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9201 DEVERON CT, FAIRFAX STATION, VA 22039-3163
(703) 495-8642
Mailing address
9201 DEVERON CT, FAIRFAX STATION, VA 22039-3163
(703) 495-8642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053077L
PA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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