Individual
MICHAEL J KUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 VERMONT AVE NW, ROOM 806, WASHINGTON, DC 20420-0001
(202) 273-5878
Mailing address
8511 GAVIN MANOR CT, CHEVY CHASE, MD 20815-5700
(202) 273-5878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31946
MA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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