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1396727012
VYACHESLAV FUZAYLOV
BALTIMORE, MD
NPI
1396727012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MD D0060082)
Enumeration Date
2005-11-17
Last Update Date
2019-11-20
Business Address
VYACHESLAV FUZAYLOV M.D.
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 667-214-1616
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Mailing Address
VYACHESLAV FUZAYLOV M.D.
PO BOX 64374
BALTIMORE, MD 21264-4374
Phone number: 667-214-1616
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