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Organization
J DOUGLAS BUTLER ADVANCED SURGERY CTR PA
Active
Organization
J DOUGLAS BUTLER ADVANCED SURGERY CTR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOUGLAS BUTLER DPM (MEDICAL DIRECTOR)
(410) 848-6800
Entity
Organization
Contact information
Practice address
295 STONER AVE, STE 105, WESTMINSTER, MD 21157-5698
(410) 848-6800
Mailing address
295 STONER AVE, STE 105, WESTMINSTER, MD 21157-5698
(410) 848-6800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1299
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490004878
RAILROAD MEDICARE
MD
01
—
61647501
BLUE CROSS
MD
Enumeration date
06/24/2006
Last updated
02/12/2013
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