Doctor Name: | DR. ROBERT ALAN KUSCHNER |
NPI Number: | 1699839001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101040384 |
Business Practice Address: | 503 Robert Grant Ave Silver Spring, MD - 209107500 |
Business Phone Number: | 3013199612 |
Business Fax Number: | 3013199661 |
Mailing Address: | 906 N Wayne St, Apt #202 ARLINGTON |
State: | VA |
Postal Code: | 222011812 |
Phone Number: | 7032761298 |
Fax Number: | 3013199661 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 0101040384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |