Healthcare Provider Details

I. General information

NPI: 1316430341
Provider Name (Legal Business Name): JAMES PAUL HEALY JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 E LAUREL RD STE 1700
STRATFORD NJ
08084-1354
US

IV. Provider business mailing address

42 E LAUREL RD STE 1700
STRATFORD NJ
08084-1354
US

V. Phone/Fax

Practice location:
  • Phone: 856-566-7010
  • Fax: 856-566-6956
Mailing address:
  • Phone: 856-566-7010
  • Fax: 856-566-6956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number25MB11953300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: