Healthcare Provider Details

I. General information

NPI: 1598978207
Provider Name (Legal Business Name): JAMES MICHAEL SORACE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SECURITY BLVD
BALTIMORE MD
21244-1850
US

IV. Provider business mailing address

8620 VALLEYFIELD RD
LUTHERVILLE MD
21093-3930
US

V. Phone/Fax

Practice location:
  • Phone: 410-786-2127
  • Fax:
Mailing address:
  • Phone: 410-828-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberD0034161
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: