Provider Demographics
NPI:1780662981
Name:WATTS, JAMES P (MD)
Entity Type:Individual
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First Name:JAMES
Middle Name:P
Last Name:WATTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 W FAYETTE ST
Mailing Address - Street 2:STE 400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2859
Mailing Address - Country:US
Mailing Address - Phone:315-472-1488
Mailing Address - Fax:315-472-8060
Practice Address - Street 1:4900 BROAD RD
Practice Address - Street 2:POB STE 4K
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-2265
Practice Address - Country:US
Practice Address - Phone:315-492-5784
Practice Address - Fax:315-492-5183
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2008-05-06
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Provider Licenses
StateLicense IDTaxonomies
NY130600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA2350Medicare PIN
NYB81745Medicare UPIN
NYP00131365Medicare PIN