Healthcare Provider Details

I. General information

NPI: 1598749905
Provider Name (Legal Business Name): HAROLD RUSSELL WRIGHT JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 OSLER DR SUITE 213
BALTIMORE MD
21204-7673
US

IV. Provider business mailing address

7401 OSLER DR SUITE 213
BALTIMORE MD
21204-7673
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-0103
  • Fax: 410-583-1211
Mailing address:
  • Phone: 410-583-0103
  • Fax: 410-583-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD24191
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberD24191
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: