Provider Demographics
NPI:1801999024
Name:MCCORMICK, JAMES P (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:MCCORMICK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:121 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2653
Mailing Address - Country:US
Mailing Address - Phone:207-373-6490
Mailing Address - Fax:207-373-6491
Practice Address - Street 1:121 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 3300
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-373-6490
Practice Address - Fax:207-373-6491
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-01-22
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Provider Licenses
StateLicense IDTaxonomies
ME016158207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G65995Medicare UPIN
MEG65995Medicare UPIN
MEMM9922Medicare PIN