Provider Demographics
NPI:1083803688
Name:MCMAHON, JAMES HAMILTON (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HAMILTON
Last Name:MCMAHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WASHINGTON ST
Mailing Address - Street 2:DEPT OF INFECTIOUS DISEASES NEW ENGLAND MEDICAL CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1526
Mailing Address - Country:US
Mailing Address - Phone:617-636-7001
Mailing Address - Fax:617-636-7100
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:DEPT OF INFECTIOUS DISEASES NEW ENGLAND MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:617-636-7001
Practice Address - Fax:617-636-7100
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232459282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA232459OtherLIMITED REGISTRATION NO.