MEDICARE: JAMHAR M. JAMES LMT

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	225700000X	Massage Therapist	18KT01195300	NJ

General Provider Information

NPI Number	:	1235705914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMHAR M. JAMES LMT

Provider Business Mailing Address
First Line	:	76 BROAD ST APT 14
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3942
Country	:	US
Telephone Number	:	856-472-4364
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CLOVE RD FL 2
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-2102
Country	:	US
Telephone Number	:	973-509-9800
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	06/02/2021

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