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NPI Code Detail

MEDICARE: DR. JAMES CANIGLIA M.D.

MEDICARE: DR. JAMES CANIGLIA 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 Physician25MA04513200NJ

General Provider Information

NPI Number : 1033117064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CANIGLIA M.D.
Provider Business Mailing Address
First Line : 864 CLIFTON AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-3214
Country : US
Telephone Number : 973-483-2642
Fax Number :
Provider Business Practice Location Address
First Line : 308 WILLOW AVE
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-3808
Country : US
Telephone Number : 201-418-2065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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