Provider Demographics
NPI:1649478066
Name:JAMES & DYER, M.D.,P.A.
Entity type:Organization
Organization Name:JAMES & DYER, M.D.,P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-822-7931
Mailing Address - Street 1:4 CAULK LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3808
Mailing Address - Country:US
Mailing Address - Phone:410-822-7931
Mailing Address - Fax:410-822-3523
Practice Address - Street 1:4 CAULK LN
Practice Address - Street 2:SUITE A
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3808
Practice Address - Country:US
Practice Address - Phone:410-822-7931
Practice Address - Fax:410-822-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD253701000Medicaid
MD597LMedicare ID - Type Unspecified