Provider Demographics
NPI:1518071513
Name:FLAHERTY, JAMES F (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:FLAHERTY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 GRAND ST
Mailing Address - Street 2:MEDICAL STAFF OFFICE: ONDREA CHASSE
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-2016
Mailing Address - Country:US
Mailing Address - Phone:860-224-5305
Mailing Address - Fax:860-224-5740
Practice Address - Street 1:40 HART ST
Practice Address - Street 2:BLDG. D
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1743
Practice Address - Country:US
Practice Address - Phone:860-827-1981
Practice Address - Fax:860-827-1642
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT032774208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG29746Medicare UPIN