Individual
DR. JAMES LEO COMOTTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PRATT ST RM 474, BALTIMORE, MD 21201-1023
(410) 328-6325
Mailing address
701 W PRATT ST RM 474, BALTIMORE, MD 21201-1023
(410) 328-6325
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0024661
DE
2084P0800X
Psychiatry Physician
D89512
MD
2084P0800X
Psychiatry Physician
MD476934
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1-0024661
MEDICAL LICENSE
DE
01
—
D89512
MEDICAL LICENSE
MD
01
—
DR-0025136
CSR
DE
01
—
MD476934
MEDICAL LICENSE
PA
Enumeration date
03/21/2018
Last updated
09/18/2023
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