MEDICARE: DR. JAMES FOX CLAIRE D.O.

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
1	207Q00000X	Family Medicine Physician	25MB05189200	NJ

General Provider Information

NPI Number	:	1649331273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES FOX CLAIRE D.O.

Provider Business Mailing Address
First Line	:	1600 PINE AVE
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-3631
Country	:	US
Telephone Number	:	856-627-3639
Fax Number	:

Provider Business Practice Location Address
First Line	:	813 E GATE DR
Second Line	:	SUITE B
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1238
Country	:	US
Telephone Number	:	856-222-9965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/08/2007

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