Provider Demographics
NPI:1609804442
Name:SANG, JAMES C (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:SANG
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:183 OAK ST
Mailing Address - Street 2:APT. 207
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1456
Mailing Address - Country:US
Mailing Address - Phone:215-888-4840
Mailing Address - Fax:857-364-4543
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:SUITE 3C14
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4835
Practice Address - Fax:857-364-4543
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASC005732213ES0103X
MA2378213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101998147Medicaid
PA101998147Medicaid