Provider Demographics
NPI:1275264129
Name:HUSSIN, ANMAR M
Entity Type:Individual
Prefix:MR
First Name:ANMAR
Middle Name:M
Last Name:HUSSIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BRIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1205
Mailing Address - Country:US
Mailing Address - Phone:425-623-8864
Mailing Address - Fax:
Practice Address - Street 1:301 BRIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1205
Practice Address - Country:US
Practice Address - Phone:425-623-8864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program