Individual
ERIC VICTOR VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 FREDERICK ROAD, SUITE 251, BALTIMORE, MD 21228
(410) 788-3019
(410) 788-3067
Mailing address
405 FREDERICK ROAD, SUITE 251, BALTIMORE, MD 21228
(410) 788-3019
(410) 788-3067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0025275
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0025275
MD
Other
Enumeration date
12/14/2006
Last updated
07/01/2010
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