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Individual

DR. ALIAKSEI PUSTAVOITAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, MEYER 297-A, BALTIMORE, MD 21287-0005
(410) 955-9080
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 550-8432

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301079531
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D65752
MD

Other

Enumeration date
01/26/2007
Last updated
01/08/2013
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