Provider Demographics
NPI:1881354108
Name:GEORGE, JAMES P
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:GEORGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BURGUNDY CT
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2522
Mailing Address - Country:US
Mailing Address - Phone:973-985-8432
Mailing Address - Fax:
Practice Address - Street 1:180 SCOTLAND RD
Practice Address - Street 2:STE 4
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-0705
Practice Address - Country:US
Practice Address - Phone:862-444-3632
Practice Address - Fax:862-444-3942
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03247900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist