Individual
JAMES RUSSELL BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 N CHARLES ST, STE 305, BALTIMORE, MD 21204-6800
(443) 849-6201
(443) 849-6280
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
(410) 933-7440
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
D0016954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100521
KAISER
MD
01
—
10225716
AMERIGROUP
MD
01
—
2230415
AETNA HMO
MD
05
—
311731600
—
MD
01
—
4140449
AETNA NON HMO
MD
01
—
51774
UHC/MAMSI
MD
01
—
LN89CH/30516006
CAREFIRST OF MD
MD
01
—
T409/0001
CAREFIRST REGIONAL
MD
Enumeration date
03/20/2007
Last updated
01/25/2013
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