Provider Demographics
NPI:1881671444
Name:ATKINSON, JAMES Q (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:Q
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 FEDERAL ST STE SW200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:180 TUCKERTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8802
Practice Address - Country:US
Practice Address - Phone:856-797-9229
Practice Address - Fax:856-797-9919
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03821600207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD18502Medicare UPIN