Individual
M. CORNELIOUS MUSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
7671 QUARTERFIELD ROAD, SUITE 302, GLEN BURNIE, MD 21060
(410) 768-0074
(410) 768-0075
Mailing address
PO BOX 696, FULTON, MD 20759-0696
(410) 768-0074
(410) 768-0075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0059105
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378221200
—
MD
Enumeration date
02/21/2006
Last updated
03/28/2016
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