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Individual

NICHOLAS LEE OGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 E CARROLL ST, 3RD FLOOR, WEST TOWER, SALISBURY, MD 21801-5422
(410) 546-1353
(410) 543-8360
Mailing address
100 E CARROLL ST, 3RD FLOOR, WEST TOWER, SALISBURY, MD 21801-5422
(410) 546-1353
(410) 543-8360

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
D34593
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D34593
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
435991700
MD
Enumeration date
02/14/2006
Last updated
04/24/2014
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