Doctor Name: | JAMES MAGINNIS |
NPI Number: | 1023447968 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 140 N Rte 17 Suite 255 Paramus, NJ - 076522809 |
Business Phone Number: | 2012615501 |
Business Fax Number: | |
Mailing Address: | 140 N Rte 17, Suite 255 PARAMUS |
State: | NJ |
Postal Code: | 076522809 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/01/2013 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |