Provider Demographics
NPI:1811947351
Name:TREAT, JAMES R (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:TREAT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9258
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3550 MARKET ST FL 2
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - DERMATOLOGY DIV
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3366
Practice Address - Country:US
Practice Address - Phone:215-590-9119
Practice Address - Fax:215-590-4948
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-11-03
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Provider Licenses
StateLicense IDTaxonomies
PAMD428461207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02799755Medicaid
NJ0112577Medicaid
PA101662095Medicaid
PA1850772OtherINDEPENDENCE BLUE CROSS
NJ0112577Medicaid
PA1850772OtherINDEPENDENCE BLUE CROSS
PA101372Medicare ID - Type Unspecified