Provider Demographics
NPI:1629045661
Name:DEWAR, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:DEWAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:ROOM 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-802-8271
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:373 BURROWS ST
Practice Address - Street 2:MATILDA THEISS HEALTH CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2201
Practice Address - Country:US
Practice Address - Phone:412-383-1550
Practice Address - Fax:412-383-2133
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-11-19
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Provider Licenses
StateLicense IDTaxonomies
OH35063295207Q00000X
PAMD041729E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101010789Medicaid
PA101010789Medicaid
OHF50009Medicare UPIN