Individual
ANATOLI ANDREEVICH BUTE GUSAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2855 CRAIN HWY, WALDORF, MD 20601-2807
(240) 427-1926
(240) 427-1927
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0074617
MD
Other
Enumeration date
04/15/2009
Last updated
02/15/2021
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