Healthcare Provider Details

I. General information

NPI: 1881671444
Provider Name (Legal Business Name): JAMES Q. ATKINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2005
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 TUCKERTON RD SUITE 1
MEDFORD NJ
08055-8802
US

IV. Provider business mailing address

1 FEDERAL ST STE SW200
CAMDEN NJ
08103-1155
US

V. Phone/Fax

Practice location:
  • Phone: 856-797-9229
  • Fax: 856-797-9919
Mailing address:
  • Phone: 856-356-4924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number25MA03821600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: