Provider Demographics
NPI:1932326477
Name:MCCANN, JAMES J (PHYSICIANS ASSISTANT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:MCCANN
Suffix:
Gender:M
Credentials:PHYSICIANS ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36 PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3660
Mailing Address - Country:US
Mailing Address - Phone:617-638-7350
Mailing Address - Fax:617-638-7228
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:B-402 DEPT CARDIOTHORACIC SURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-7350
Practice Address - Fax:617-638-7226
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical