Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0035387 | MD |
NPI | 1285646992 |
---|---|
Provider Name | James D Anthony |
First Address | Columbia, MD 21045-2168 |
Second Address | Columbia, MD 21045-2168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277581600 | (05) | MD |
D78008 | (02) | MD |