Individual
DR. STANLEY MARCER BYSSHE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 DUTCHMANS LN, BUILDING B, EASTON, MD 21601-4302
(410) 822-4553
(410) 770-9611
Mailing address
505 DUTCHMANS LN, BUILDING B, EASTON, MD 21601-4302
(410) 822-4553
(410) 770-9611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D23066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22322
MAMSI
MD
01
—
E4810001
CAREFIRST BLUECHOICE
MD
Enumeration date
11/07/2005
Last updated
07/08/2007
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