Organization
CHILDREN'S SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BUCK M.D. (OWNER)
(443) 849-6201
Entity
Organization
Contact information
Practice address
6565 N CHARLES ST, STE 305, BALTIMORE, MD 21204-6800
(443) 849-6201
Mailing address
10085 RED RUN BLVD, STE 200, OWINGS MILLS, MD 21117-4836
(443) 204-8249
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805702800
—
MD
01
—
LN89CH
CAREFIRST OF MARYLAND
MD
01
—
T409
CAREFIRST REGIONAL
MD
Enumeration date
06/27/2008
Last updated
06/27/2008
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