Provider Demographics
NPI:1346215688
Name:GEORGE JAMES, M.D.
Entity Type:Organization
Organization Name:GEORGE JAMES, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-848-8202
Mailing Address - Street 1:3905 NATIONAL DR
Mailing Address - Street 2:STE 250
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1100
Mailing Address - Country:US
Mailing Address - Phone:410-848-8202
Mailing Address - Fax:410-848-2644
Practice Address - Street 1:3905 NATIONAL DR
Practice Address - Street 2:STE 250
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1100
Practice Address - Country:US
Practice Address - Phone:410-848-8202
Practice Address - Fax:410-848-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40075174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCA7210001OtherBC DC/METRO
MDOJ39GC52120808OtherBC MARYLAND
MD916531OtherUHC GROUP
MDP00241387OtherRAILROAD MEDICARE
MDP00241387OtherRAILROAD MEDICARE
MDE66138Medicare UPIN
MDOJ39GC52120808OtherBC MARYLAND