Individual
DR. BRUCE JAMES SUMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6418 REISTERSTOWN RD, BALTIMORE, MD 21215-2308
(410) 318-8855
(410) 764-3229
Mailing address
200 BANNING ST, SUITE 130, DOVER, DE 19904-3485
(302) 678-1700
(302) 678-2330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C1-0008619
DE
207W00000X
Ophthalmology Physician
Primary
D0067113
MD
207W00000X
Ophthalmology Physician
MD454657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11809122
CAQH
—
01
—
DR0006276
CDS #
DE
01
—
M94008
CDS
MD
Enumeration date
01/26/2006
Last updated
03/07/2023
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