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NPI Code Detail

MEDICARE: ANDREI GURSKY MD

MEDICARE:   ANDREI  GURSKY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician2010000739MO
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101257444VA

Other Identifiers

General Provider Information

NPI Number : 1790753515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREI GURSKY MD
Provider Business Mailing Address
First Line : 7610 CARROLL AVE STE 100
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-6311
Country : US
Telephone Number : 301-891-2500
Fax Number : 301-448-1679
Provider Business Practice Location Address
First Line : 7610 CARROLL AVE STE 100
Second Line :
City : TAKOMA PARK
State : MD
Zip : 20912-6311
Country : US
Telephone Number : 301-891-2500
Fax Number : 301-448-1679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 02/24/2021

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Directions to “ ANDREI GURSKY MD” Practice Location

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