Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0050579 | MD |
NPI | 1134122716 |
---|---|
Provider Name | James W Palumbo |
First Address | Easton, MD 21601-3824 |
Second Address | Easton, MD 21601-3824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 01/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
082441100 | (05) | MD |
CF170007 | CAREFIRST (01) | MD |
G36168 | (02) | MD |