MEDICARE: JAMES C BUXBAUM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	D0035427	MD
2	207P00000X	Emergency Medicine Physician		VA

General Provider Information

NPI Number	:	1699763664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C BUXBAUM MD

Provider Business Mailing Address
First Line	:	1300 PICCARD DR
Second Line	:	STE 202
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-4303
Country	:	US
Telephone Number	:	301-921-7900
Fax Number	:	301-921-7915

Provider Business Practice Location Address
First Line	:	7600 CARROLL AVE
Second Line	:	WASHINGTON ADVENTIST HOSPITAL
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6367
Country	:	US
Telephone Number	:	301-891-5070
Fax Number	:	301-891-5132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/08/2007

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