Individual
JAMES COURTNEY FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0005
(410) 955-7237
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D29145
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D29145
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322241100
—
MD
Enumeration date
07/06/2006
Last updated
04/05/2023
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