Provider Demographics
NPI:1871668913
Name:CANFIELD, JAMES A (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:CANFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OLD NASHUA RD
Mailing Address - Street 2:#14
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031
Mailing Address - Country:US
Mailing Address - Phone:603-673-7577
Mailing Address - Fax:603-673-8788
Practice Address - Street 1:31 OLD NASHUA RD
Practice Address - Street 2:#14
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031
Practice Address - Country:US
Practice Address - Phone:603-673-7577
Practice Address - Fax:603-673-8788
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8281208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
101388OtherAETNA PPO
1240810OtherUNITED HEALTHCARE
2522248OtherCIGNA
7779078OtherAETNA HMO
C46525OtherHARVARD PILGRIM
055156OtherTUFTS
C46525Medicare UPIN