ANATOLI ANDREEVICH BUTE GUSAIM

WALDORF, MD
NPI1770726127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D0074617)
Enumeration Date2009-04-15
Last Update Date2021-02-15
Business Address
ANATOLI ANDREEVICH BUTE GUSAIM
2855 CRAIN HWY
WALDORF, MD 20601-2807
Phone number: 240-427-1926
Mailing Address
ANATOLI ANDREEVICH BUTE GUSAIM
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700