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NPI Code Detail

MEDICARE: DR. JAMES M ANDERSON MD

MEDICARE: DR. JAMES M ANDERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085P0229XPediatric Radiology PhysicianME94559FL
22085P0229XPediatric Radiology PhysicianC175197CA
32085P0229XPediatric Radiology Physician56015KY
42085P0229XPediatric Radiology PhysicianDR.0067049CO

General Provider Information

NPI Number : 1437152378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M ANDERSON MD
Provider Business Mailing Address
First Line : 3695 GREEN RD UNIT 22778
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-7939
Country : US
Telephone Number : 216-255-5728
Fax Number : 727-767-3593
Provider Business Practice Location Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 216-255-5728
Fax Number : 727-767-3593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/15/2023

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