Provider Demographics
NPI:1124359559
Name:JAMES D. FOLEY, M.D., P.A.
Entity Type:Organization
Organization Name:JAMES D. FOLEY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-292-9624
Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:SUITE 804
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-292-9624
Mailing Address - Fax:651-292-0799
Practice Address - Street 1:17 EXCHANGE ST W
Practice Address - Street 2:SUITE 804
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1045
Practice Address - Country:US
Practice Address - Phone:651-292-9624
Practice Address - Fax:651-292-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN886261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN791243070OtherRAILROAD MEDICARE
MN791243070OtherRAILROAD MEDICARE