Healthcare Provider Details
I. General information
NPI: 1346337839
Provider Name (Legal Business Name): JAMES K. AIKINS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 08/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 CENTENNIAL BLVD SUITE F
VOORHEES NJ
08043-4689
US
IV. Provider business mailing address
3 COOPER PLZ SUITE 502
CAMDEN NJ
08103-1438
US
V. Phone/Fax
- Phone: 856-325-6644
- Fax: 856-325-6643
- Phone: 856-968-7433
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MA52482 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD040307L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | MA52482 |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | MD040307L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: