Provider Demographics
NPI:1134301617
Name:JOSEPH S BUFFINGTON MD
Entity Type:Organization
Organization Name:JOSEPH S BUFFINGTON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-774-0650
Mailing Address - Street 1:3300 OLNEY SANDY SPRING RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1494
Mailing Address - Country:US
Mailing Address - Phone:301-774-0650
Mailing Address - Fax:301-774-6173
Practice Address - Street 1:3300 OLNEY SANDY SPRING RD
Practice Address - Street 2:SUITE 300
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1494
Practice Address - Country:US
Practice Address - Phone:301-774-0650
Practice Address - Fax:301-774-6173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0024574174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD845307Medicare PIN
MDB94297Medicare UPIN