Provider Demographics
NPI:1033206966
Name:NASH, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:NASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:560 N 5TH ST
Mailing Address - Street 2:P O BOX 345
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-1418
Mailing Address - Country:US
Mailing Address - Phone:717-336-2871
Mailing Address - Fax:717-733-0634
Practice Address - Street 1:560 N 5TH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:PA
Practice Address - Zip Code:17517-1418
Practice Address - Country:US
Practice Address - Phone:717-336-2871
Practice Address - Fax:717-733-0634
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032269E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC34440Medicare UPIN
PA466169Medicare ID - Type Unspecified