Healthcare Provider Details

I. General information

NPI: 1699839001
Provider Name (Legal Business Name): ROBERT ALAN KUSCHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 ROBERT GRANT AVE
SILVER SPRING MD
20910-7500
US

IV. Provider business mailing address

906 N WAYNE ST APT #202
ARLINGTON VA
22201-1812
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-9612
  • Fax: 301-319-9661
Mailing address:
  • Phone: 703-276-1298
  • Fax: 301-319-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101040384
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: