Provider Demographics
NPI:1225053317
Name:DUNCKLEE, JAMES (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DUNCKLEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:215-807-8235
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011129L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001742168OtherHIGHMARK BS
PA101347744-02OtherAMERICHOICE- TORRESDALE
PA1013477440004OtherPROMISE
PA1013477440001Medicaid
PA2464180OtherUNITED HEALTHCARE
PA101347744-03OtherAMERICHOICE-FRANKFORD
PA1358218OtherCIGNA
PA30025560OtherKEYSTONE MERCY
PW07645OtherHEALTH PARTNERS
PA1013477440002Medicaid
PA1742168OtherPERSONAL CHOICE
PA2408090000OtherKEYSTONE
PA001742168OtherBS
PA1742168OtherHIGHMARK BLUE SHIELD
PA101347744-01OtherAMERICHOICE- BUCKS
PA1013477440003Medicaid
PA2408090000OtherKEYSTONE, IBC
30048593OtherKEYSTONE MERCY
PAP00290590OtherRAILROAD MEDICARE
PA20045118OtherAMERIHEALTH
PA452729OtherAETNA CONTRACT
PA1742168OtherHIGHMARK BLUE SHIELD
PA1013477440003Medicaid
PAP00290590OtherRAILROAD MEDICARE