Healthcare Provider Details

I. General information

NPI: 1871668913
Provider Name (Legal Business Name): JAMES A CANFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 OLD NASHUA RD #14
AMHERST NH
03031
US

IV. Provider business mailing address

31 OLD NASHUA RD #14
AMHERST NH
03031
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-7577
  • Fax: 603-673-8788
Mailing address:
  • Phone: 603-673-7577
  • Fax: 603-673-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8281
License Number StateNH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier101388
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA PPO
# 2
Identifier1240810
Identifier TypeOTHER
Identifier State
Identifier IssuerUNITED HEALTHCARE
# 3
Identifier2522248
Identifier TypeOTHER
Identifier State
Identifier IssuerCIGNA
# 4
Identifier7779078
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA HMO
# 5
IdentifierC46525
Identifier TypeOTHER
Identifier State
Identifier IssuerHARVARD PILGRIM
# 6
Identifier055156
Identifier TypeOTHER
Identifier State
Identifier IssuerTUFTS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: