Provider Demographics
NPI:1821050881
Name:HARRY, JAMES L (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:HARRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 CROMWELL BRIDGE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3330
Mailing Address - Country:US
Mailing Address - Phone:410-821-7775
Mailing Address - Fax:410-821-1320
Practice Address - Street 1:1001 CROMWELL BRIDGE RD
Practice Address - Street 2:STE 200
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3330
Practice Address - Country:US
Practice Address - Phone:410-821-7775
Practice Address - Fax:410-821-1320
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2016-11-28
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Provider Licenses
StateLicense IDTaxonomies
MDD0020168208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
E49944Medicare UPIN