Healthcare Provider Details

I. General information

NPI: 1851358741
Provider Name (Legal Business Name): JAMES WILLIAM FLANAGAN SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/01/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 STREET RD
SOUTHAMPTON PA
18966-4582
US

IV. Provider business mailing address

1648 HUNTINGDON PIKE MEDICAL STAFF OFFICE 1ST FLR
MEADOWBROOK PA
19046-8001
US

V. Phone/Fax

Practice location:
  • Phone: 215-357-4066
  • Fax: 215-364-2572
Mailing address:
  • Phone: 215-938-3450
  • Fax: 215-938-3829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-022545-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: