Provider Demographics
NPI:1750634267
Name:MCCLOSKEY, JAMES TODD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:TODD
Last Name:MCCLOSKEY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3445 BOX HILL CORPORATE CENTER DR STE E
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1223
Mailing Address - Country:US
Mailing Address - Phone:410-569-5151
Mailing Address - Fax:410-596-1131
Practice Address - Street 1:3445 BOX HILL CORPORATE CENTER DR STE E
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1223
Practice Address - Country:US
Practice Address - Phone:410-569-5151
Practice Address - Fax:410-569-1131
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2020-02-19
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Provider Licenses
StateLicense IDTaxonomies
MDC0004916363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant