Most Relevant Information
Provider Data
| NPI Number: | 1003468083 |
| Provider Name: | ADAM ROBERT BUSSELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | C0007490 |
Most Important Dates
| Enumeration Date: | 07/10/2019 |
| Last Updated: | 03/02/2020 |
Provider Practice Location
1800 ORLEANS ST
BALTIMORE
MD
212870010
Practice Location Phone/Fax
| Phone: | 4109555000 |
| Fax: |
Provider Mailing Location
155 VERSAILLES CIR APT B
TOWSON
MD
212046938
Provider Mailing Phone/Fax
| Phone: | 4107901438 |
| Fax: |