Provider Demographics
NPI:1790724359
Name:MCCABE, JAMES L III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:MCCABE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:307 S EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-2739
Mailing Address - Country:US
Mailing Address - Phone:856-686-4300
Mailing Address - Fax:
Practice Address - Street 1:435 HURFFVILLE CROSS KEYS RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2453
Practice Address - Country:US
Practice Address - Phone:856-488-6816
Practice Address - Fax:856-488-6511
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA56289207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5192609Medicaid
NJ223586506007OtherCHAMPUS/TRICARE
NJ0530033000OtherAMERIHEALTH
NJ223586506007OtherCHAMPUS/TRICARE
E66815Medicare UPIN