Provider Demographics
NPI:1396809315
Name:CARLTON, JAMES MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:CARLTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 SAINT PAUL ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-332-7464
Mailing Address - Fax:410-332-7466
Practice Address - Street 1:301 SAINT PAUL ST
Practice Address - Street 2:SUITE 405
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-332-7464
Practice Address - Fax:410-332-7466
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD304102082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD397911300Medicaid
MD397911300Medicaid
D70335Medicare UPIN