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NPI Code Detail

MEDICARE: NICHOLAS LEE OGBURN MD

MEDICARE: NICHOLAS LEE OGBURN 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
12086S0129XVascular Surgery PhysicianD34593MD
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianD34593MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326012691
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS LEE OGBURN MD
Provider Business Mailing Address
First Line : 100 E CARROLL ST
Second Line : 3RD FLOOR, WEST TOWER
City : SALISBURY
State : MD
Zip : 21801-5422
Country : US
Telephone Number : 410-546-1353
Fax Number : 410-543-8360
Provider Business Practice Location Address
First Line : 100 E CARROLL ST
Second Line : 3RD FLOOR, WEST TOWER
City : SALISBURY
State : MD
Zip : 21801-5422
Country : US
Telephone Number : 410-546-1353
Fax Number : 410-543-8360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 04/24/2014

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