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NPI Code Detail

MEDICARE: DR. JAMES FINE M.D

MEDICARE: DR. JAMES FINE M.D
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
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician014268ME
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician139360NY

General Provider Information

NPI Number : 1821079237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES FINE M.D
Provider Business Mailing Address
First Line : 7 LIVINGSTON AVE
Second Line :
City : NEW BRUNSWICK
State : NJ
Zip : 08901-4083
Country : US
Telephone Number : 207-660-5253
Fax Number :
Provider Business Practice Location Address
First Line : 375 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3932
Country : US
Telephone Number : 207-660-5253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 05/04/2023

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