Provider Demographics
NPI:1205371697
Name:HYLAND, JAMES CARROLL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARROLL
Last Name:HYLAND
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6575 SNOWDRIFT RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9353
Mailing Address - Country:US
Mailing Address - Phone:484-244-2900
Mailing Address - Fax:484-244-2904
Practice Address - Street 1:6575 SNOWDRIFT RD STE 106
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9353
Practice Address - Country:US
Practice Address - Phone:484-244-2900
Practice Address - Fax:484-244-2904
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063053L207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine