Provider Demographics
NPI:1811981186
Name:PUSTER, GEORGE V JR (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:V
Last Name:PUSTER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:12801 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1669
Mailing Address - Country:US
Mailing Address - Phone:804-748-9071
Mailing Address - Fax:804-768-8626
Practice Address - Street 1:12801 IRON BRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1669
Practice Address - Country:US
Practice Address - Phone:804-748-9071
Practice Address - Fax:804-768-8626
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101-027487207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA56503OtherSOUTHERN HEALTH
VA011840OtherANTHEM
VA011840OtherANTHEM