# CHILDREN'S SURGICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073775359
- **Authorized official:** JAMES BUCK M.D. (OWNER)
- **Authorized official phone:** (443) 849-6201

## Contact information

- **Practice address:** 6565 N CHARLES ST, STE 305, BALTIMORE, MD 21204-6800
- **Practice address phone:** (443) 849-6201
- **Mailing address:** 10085 RED RUN BLVD, STE 200, OWINGS MILLS, MD 21117-4836
- **Mailing address phone:** (443) 204-8249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 805702800 | — | MD |
| 01 | — | LN89CH | CAREFIRST OF MARYLAND | MD |
| 01 | — | T409 | CAREFIRST REGIONAL | MD |