Individual
BRANDON CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-0882
Mailing address
4313 BEDROCK CIR, APARTMENT 104, NOTTINGHAM, MD 21236-5627
(443) 824-4850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04540
MD
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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