MEDICARE: JOSEPH S BUFFINGTON 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	174400000X	Specialist	D0024574	MD

General Provider Information

NPI Number	:	1134301617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH S BUFFINGTON MD

Provider Business Mailing Address
First Line	:	3300 OLNEY SANDY SPRING RD
Second Line	:	SUITE 300
City	:	OLNEY
State	:	MD
Zip	:	20832-1494
Country	:	US
Telephone Number	:	301-774-0650
Fax Number	:	301-774-6173

Provider Business Practice Location Address
First Line	:	3300 OLNEY SANDY SPRING RD
Second Line	:	SUITE 300
City	:	OLNEY
State	:	MD
Zip	:	20832-1494
Country	:	US
Telephone Number	:	301-774-0650
Fax Number	:	301-774-6173

Authorized Official
Title or Position	:	MD
Name	:	MR. JOSEPH BUFFINGTON
Credential	:	MD
Telephone Number	:	301-774-0650

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	11/27/2007

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