Provider Demographics
NPI:1235705914
Name:JAMES, JAMHAR M (LMT)
Entity Type:Individual
Prefix:
First Name:JAMHAR
Middle Name:M
Last Name:JAMES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 BROAD ST APT 14
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3942
Mailing Address - Country:US
Mailing Address - Phone:856-472-4364
Mailing Address - Fax:
Practice Address - Street 1:28 CLOVE RD FL 2
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-2102
Practice Address - Country:US
Practice Address - Phone:973-509-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01195300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty