Organization
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN ADAIR BUSTER JR. (COO)
(301) 373-7905
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD 1012, WALDORF, MD 20602-3228
(301) 843-9060
(301) 645-3092
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
05/11/2026
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