Provider Demographics
NPI:1093875288
Name:VOGEL, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4 PARK CENTER CT
Mailing Address - Street 2:100
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5611
Mailing Address - Country:US
Mailing Address - Phone:410-484-8860
Mailing Address - Fax:410-484-2566
Practice Address - Street 1:4 PARK CENTER CT
Practice Address - Street 2:100
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5611
Practice Address - Country:US
Practice Address - Phone:410-484-8860
Practice Address - Fax:410-484-2566
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00345952086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE27477Medicare UPIN