Provider Demographics
NPI:1598749905
Name:WRIGHT, HAROLD RUSSELL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:RUSSELL
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 OSLER DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7673
Mailing Address - Country:US
Mailing Address - Phone:410-583-0103
Mailing Address - Fax:410-583-1211
Practice Address - Street 1:7401 OSLER DR
Practice Address - Street 2:SUITE 213
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-7673
Practice Address - Country:US
Practice Address - Phone:410-583-0103
Practice Address - Fax:410-583-1211
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD24191207Y00000X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Not Answered207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
010028OtherJOHNS HOPKINS HEALTHCARE
1000069OtherUNITED HEALTHCARE
324122OtherMAMSI
MDKC05H35076702OtherCAREFIRST BCBS
W4230001OtherBCBS FEDERAL
1992184004OtherCIGNA
6902000000KC05OtherCAREFIRST BCBS NASCO
V00001113OtherUNITED HEALTHCARE OF THE
4070206OtherAETNA
W423OtherCAREFIRST BCBS BLUECHOICE
6902000000KC05OtherCAREFIRST BCBS NASCO
9752Medicare ID - Type Unspecified