Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 296101 | NY |
N | 208600000X | Surgeon | 296101 | NY |
Y | 2086S0102X | Surgical Critical Care | 296101 | NY |
NPI | 1114330677 |
---|---|
Provider Name | Dr. Douglas James |
First Address | Middletown, NY 10940-2650 |
Second Address | Middletown, NY 10940-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 21/07/2021 |