Provider Demographics
NPI:1972522977
Name:WEBB, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1280 YARDVILLE ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1818
Mailing Address - Country:US
Mailing Address - Phone:609-259-3635
Mailing Address - Fax:609-259-9508
Practice Address - Street 1:1280 YARDVILLE ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1818
Practice Address - Country:US
Practice Address - Phone:609-259-3635
Practice Address - Fax:609-259-9508
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04584900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD19023Medicare UPIN
453842Medicare ID - Type Unspecified