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NPI Code Detail

MEDICARE: MR. JAMES F HEINS JR. PA

MEDICARE: MR. JAMES F HEINS JR. PA
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
1363AM0700XMedical Physician Assistant001002319NC

General Provider Information

NPI Number : 1568545515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES F HEINS JR. PA
Provider Business Mailing Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 410-224-2260
Fax Number : 410-224-3090
Provider Business Practice Location Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 410-224-2260
Fax Number : 410-224-3090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/01/2013

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