Healthcare Provider Details

I. General information

NPI: 1104936293
Provider Name (Legal Business Name): JAMES COOPER VALENTINE JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

794 ROBLE RD
ALLENTOWN PA
18109-9110
US

IV. Provider business mailing address

794 ROBLE RD
ALLENTOWN PA
18109-9110
US

V. Phone/Fax

Practice location:
  • Phone: 301-580-0245
  • Fax:
Mailing address:
  • Phone: 301-580-0245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number01062454A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number01062454A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number69603
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number01062454A
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD487964
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: