Healthcare Provider Details

I. General information

NPI: 1831161421
Provider Name (Legal Business Name): DEBORAH E JAMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 CONCORD AVE CHILDREN'S GARDEN PEDIATRICS
CAMBRIDGE MA
02138-1048
US

IV. Provider business mailing address

799 CONCORD AVE CHILDREN'S GARDEN PEDIATRICS
CAMBRIDGE MA
02138-1048
US

V. Phone/Fax

Practice location:
  • Phone: 617-441-9276
  • Fax: 617-491-5222
Mailing address:
  • Phone: 617-441-9276
  • Fax: 617-491-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number213874
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: