Healthcare Provider Details

I. General information

NPI: 1043650757
Provider Name (Legal Business Name): JAMES HIGGINS CAWLEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 E BROWN ST
EAST STROUDSBURG PA
18301-3006
US

IV. Provider business mailing address

HOSPITALIST OFFICE 601 PARK STREET
HONESDALE PA
18431-1445
US

V. Phone/Fax

Practice location:
  • Phone: 570-476-3316
  • Fax: 570-420-2459
Mailing address:
  • Phone: 570-552-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056027
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: