Provider Demographics
NPI:1215030291
Name:KEMP, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:KEMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:PROVIDER ENROLLMENT 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-421-2508
Mailing Address - Fax:
Practice Address - Street 1:26 CITY HALL MALL
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4754
Practice Address - Country:US
Practice Address - Phone:781-306-5300
Practice Address - Fax:781-306-5080
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2011-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA59731207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059731OtherTUFTS HEALTH PLAN
MA9987978-006OtherCIGNA
MA3112209Medicaid
MAJ07928OtherBLUE CROSS
MA303356OtherHARVARD PILGRIM
MA0003074OtherNEIGHBORHOOD HEALTH PLAN
MA059731OtherTUFTS HEALTH PLAN
MA9987978-006OtherCIGNA