Buck, James Russell

Buck, James Russell is an individual health care provider with primary practice located at 6565 N Charles St Ste 305, Baltimore MD 21204-6800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Buck, James Russell can be contacted via phone (443) 849-6201.

Contact Information

Primary practice address
6565 N Charles St Ste 305 Baltimore MD 21204-6800
Fax: (443) 849-6280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X D0016954 Maryland

Profile Details

NPI number 1679698344
LBN Legal business name Buck, James Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679698344 NPPES
Maryland Other 10225716 AMERIGROUP
Maryland Other T409/0001 AMERIGROUP
Maryland Other 4140449 AMERIGROUP
Maryland Other 100521 AMERIGROUP
Maryland MEDICAID 311731600 AMERIGROUP
Maryland Other 51774 AMERIGROUP
Maryland Other LN89CH/30516006 AMERIGROUP
Maryland Other 2230415 AMERIGROUP

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