Individual
DR. JAMES LAWRENCE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4383
(410) 328-3530
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-4383
(410) 328-3530
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D0030834
MD
207RI0011X
Interventional Cardiology Physician
Primary
D0030834
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034326400
—
DC
05
—
1760445886
—
DE
01
—
350470-01
BLUE CROSS/BLUE SHIELD
MD
05
—
358111000
—
MD
05
—
5849781
—
VA
Enumeration date
04/10/2006
Last updated
04/09/2015
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