Individual
DR. CAMILLE BOUSTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7501 SURRATTS RD STE 203, CLINTON, MD 20735-3362
(301) 868-8000
Mailing address
7501 SURRATTS RD STE 203, CLINTON, MD 20735-3362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0103867
MD
207RG0100X
Gastroenterology Physician
Primary
D0103867
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
02/24/2026
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