Provider Demographics
NPI:1083802508
Name:BUCHMAN, DENNIS H (PT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:H
Last Name:BUCHMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:2911 EVENING DEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21163
Mailing Address - Country:US
Mailing Address - Phone:410-418-8393
Mailing Address - Fax:301-464-1333
Practice Address - Street 1:4000 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3104
Practice Address - Country:US
Practice Address - Phone:301-464-6425
Practice Address - Fax:301-464-1333
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD141302081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS00340Medicare UPIN