Doctor Name: | JAMES L HARRY |
NPI Number: | 1821050881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0020168 |
Business Practice Address: | 8415 Bellona Ln Ste 201 Baltimore, MD - 212042055 |
Business Phone Number: | 4108217775 |
Business Fax Number: | 4108211320 |
Mailing Address: | 8415 Bellona Ln, Ste 201 BALTIMORE |
State: | MD |
Postal Code: | 212042055 |
Phone Number: | 4108217775 |
Fax Number: | 4108211320 |
NPI Enumeration Date: | 04/05/2006 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0020168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |