Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD061515L | PA |
NPI | 1013930734 |
---|---|
Provider Name | Dr. James Christopher Watson |
First Address | Harleysville, PA 19438-0907 |
Second Address | Sellersville, PA 18960-1551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001653370 | (05) | PA |
F37343 | (02) | PA |