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NPI Code Detail

MEDICARE: JAMES M. NOLD M.D.

MEDICARE: JAMES M. NOLD M.D.
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
1207P00000XEmergency Medicine Physician95-01361NC
2207P00000XEmergency Medicine PhysicianD0068042MD
3207P00000XEmergency Medicine Physician16986AL
4207P00000XEmergency Medicine PhysicianMD-051984-LPA

General Provider Information

NPI Number : 1386635043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M. NOLD M.D.
Provider Business Mailing Address
First Line : 238 SMARTY JONES TERRACE
Second Line :
City : HAVRE DE GRACE
State : MD
Zip : 21078-2300
Country : US
Telephone Number : 443-686-2016
Fax Number :
Provider Business Practice Location Address
First Line : 500 UPPER CHESAPEAKE DRIVE
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number : 443-643-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/07/2023

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