Provider Demographics
NPI:1700231230
Name:JAMES, ELIJAH JR
Entity Type:Individual
Prefix:MR
First Name:ELIJAH
Middle Name:
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3225
Mailing Address - Country:US
Mailing Address - Phone:609-386-4085
Mailing Address - Fax:
Practice Address - Street 1:1400 HIGH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3225
Practice Address - Country:US
Practice Address - Phone:609-386-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health