| NPI Details | |
|---|---|
| NPI | 1356568539 |
| Gender | Male |
| Enumeration Date | 04/19/2007 |
| Last Updated | 01/31/2014 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 600 N WOLFE ST BALTIMORE MD, 21287-0005, US |
|
| Phone | (410) 955-1966 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 64481 BALTIMORE MD, 21264-4481, US |
|
| Phone | (410) 955-1966 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207W00000X |
| License State | Rhode Island |
| License Number | LP00846 |
| Remove 1356568539 NPI Number | |
According to our database, Nicholas John Butler M.D. NPI is 1356568539, taxonomy code is 207W00000X and license number is LP00846, license state is located at Rhode Island. Nicholas John Butler M.D. physically located at 600 N Wolfe St, Baltimore MD, 21287-0005. NPI Number Nicholas John Butler M.D. has the Individual type.
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1356568539 NPI number is provided on an as is basis without warranty of any kind. 1356568539 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas John Butler M.D. are for informational purposes only.
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