MEDICARE: DR. DOUGLAS G. WRIGHT 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
1	207X00000X	Orthopaedic Surgery Physician	D52720	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F429 0001	OTHER	DC	CAREFIRST

General Provider Information

NPI Number	:	1568497469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS G. WRIGHT M.D.

Provider Business Mailing Address
First Line	:	2012 S .TOLLGATE RD.
Second Line	:	SUITE 109
City	:	BEL AIR
State	:	MD
Zip	:	21015-5900
Country	:	US
Telephone Number	:	410-569-3690
Fax Number	:	410-569-3946

Provider Business Practice Location Address
First Line	:	2012 S .TOLLGATE RD.
Second Line	:	SUITE 109
City	:	BEL AIR
State	:	MD
Zip	:	21015-5900
Country	:	US
Telephone Number	:	410-569-3690
Fax Number	:	410-569-3946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/03/2009

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