Healthcare Provider Details

I. General information

NPI: 1710055009
Provider Name (Legal Business Name): JAMES MACFADYEN I M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 SUNSET HOLLOW RD
WEST CHESTER PA
19380-1849
US

IV. Provider business mailing address

979 SUNSET HOLLOW RD
WEST CHESTER PA
19380-1849
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-0573
  • Fax: 610-436-0573
Mailing address:
  • Phone: 610-436-0573
  • Fax: 610-436-0573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number013835E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number013835E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: