Provider Demographics
NPI:1477586634
Name:JAMES M JIUNTA DO INC
Entity Type:Organization
Organization Name:JAMES M JIUNTA DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:JIUNTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:570-822-5700
Mailing Address - Street 1:417 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5418
Mailing Address - Country:US
Mailing Address - Phone:570-287-4200
Mailing Address - Fax:
Practice Address - Street 1:417 MARKET ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5418
Practice Address - Country:US
Practice Address - Phone:570-287-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0005598L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA124982Medicare UPIN