Dr. Stanley Marcer Bysshe JR.
Vascular Surgeon
505 Dutchmans Ln Building B
Easton
, Maryland 21601-4302
Dr. Stanley Marcer Bysshe JR.
Vascular Surgeon
505 Dutchmans Ln Building B
Easton
, Maryland 21601-4302
(410) 770-9611
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Stanley Marcer Bysshe JR.
- 505 Dutchmans Ln Building B
- Easton, MD
- Zip : 21601-4302
- Fax : (410) 770-9611
- Phone : (410) 822-4553
Second Address
- Dr. Stanley Marcer Bysshe JR.
- 505 Dutchmans Ln Building B
- Easton, MD
- Zip : 21601-4302
- Fax : (410) 770-9611
- Phone : (410) 822-4553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | D23066 | MD |
National Provider Identifier
| NPI | 1174504260 |
|---|---|
| Provider Name | Dr. Stanley Marcer Bysshe JR. |
| First Address | Easton, MD 21601-4302 |
| Second Address | Easton, MD 21601-4302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 22322 | MAMSI (01) | MD |
| C48838 | (02) | |
| E4810001 | CAREFIRST BLUECHOICE (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.