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Individual

ANDREI GURSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7610 CARROLL AVE STE 100, TAKOMA PARK, MD 20912-6311
(301) 891-2500
(301) 448-1679
Mailing address
7610 CARROLL AVE STE 100, TAKOMA PARK, MD 20912-6311
(301) 891-2500
(301) 448-1679

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
2010000739
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101257444
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042495833
MD
05
1790753515
MO
Enumeration date
03/09/2006
Last updated
02/24/2021
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