Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 14130 | MD |
Y | 213ES0000X | Sports Medicine | 14130 | MD |
NPI | 1083802508 |
---|---|
Provider Name | Mr. Dennis H Buchman |
First Address | Ellicott City, MD 21163 |
Second Address | Bowie, MD 20716-3104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 11/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S00340 | (02) | MD |