Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA4375000 | NJ |
NPI | 1144224056 |
---|---|
Provider Name | Dr. James Allen Fox |
First Address | Branchburg, NJ 08876-6021 |
Second Address | Branchburg, NJ 08876-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 01/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1075705 | (05) | NJ |
D06721 | (02) | NJ |