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NPI Code Detail

MEDICARE: JAMES DALTON HAYES II MD

MEDICARE: JAMES DALTON HAYES II 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
1207Y00000XOtolaryngology Physician168453NY
2207Y00000XOtolaryngology PhysicianMD037531EPA

General Provider Information

NPI Number : 1730161621
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DALTON HAYES II MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-9800
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 675 BALTIMORE DR
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7900
Country : US
Telephone Number : 570-808-7923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 08/05/2020

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