Vyacheslav Y Fuzaylov


Address: 308 Hospital Dr, Suite 102, Glen Burnie, MD 21061-6113

Vyacheslav Y Fuzaylov (NPI# 1396727012, PAC ID# 6204837545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1396727012
PAC ID by PECOS 6204837545
Professional Enrollment ID I20070129000724
Full Name Vyacheslav Y Fuzaylov
Address 308 Hospital Dr
Suite 102
Glen Burnie
MD 21061-6113
Gender M
Credential MD
Graduation Year 1980
Primary Specialty ANESTHESIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210034 MEDSTAR HARBOR HOSPITAL

Other Locations

Address Phone Organization
3001 S Hanover St, Mmg Anesthesiology At Mhh, Baltimore, MD 21225-1233 4103503575 MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
9000 Franklin Square Dr, Baltimore, MD 21237-3901 4437777123 MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
308 Hospital Dr, Suite 102, Glen Burnie, MD 21061-6113

Organization Information

Office Location

Street Address 308 HOSPITAL DR
SUITE 102
City GLEN BURNIE
State MD
Zip 21061-6113

Physicians in the same location

Name Specialty Organization Address
Fateh Hraky Obstetrics/gynecology Bay Womens Health LLC 308 Hospital Dr, Suite 101, Glen Burnie, MD 21061-5506
Dennis P Stern Obstetrics/gynecology Bay Womens Health LLC 308 Hospital Dr, Suite 101, Glen Burnie, MD 21061-5506
Adam Joseph Roscioli Physical Therapy Bayside Physical Therapy and Sports Rehabilitation Limited Partnership 308 Hospital Dr, Suite 105, Glen Burnie, MD 21061-5506
Howard N Popkin Obstetrics/gynecology Bay Womens Health LLC 308 Hospital Dr, Suite 101, Glen Burnie, MD 21061-5506
Joshua Ferguson Physical Therapy Bayside Physical Therapy and Sports Rehabilitation Limited Partnership 308 Hospital Dr, Suite 105, Glen Burnie, MD 21061-5506

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Competitor

Search similar physicians

City GLEN BURNIE
Zip Code 21061
Specialty ANESTHESIOLOGY
City + Specialty GLEN BURNIE + ANESTHESIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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