Doctor Name: | JAMES JAVIER |
NPI Number: | 1770858284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 26NJ00516600 |
Business Practice Address: | 1408 Delsea Dr Deptford, NJ - 080964101 |
Business Phone Number: | 8559257433 |
Business Fax Number: | |
Mailing Address: | 1408 Delsea Dr, DEPTFORD |
State: | NJ |
Postal Code: | 080964101 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/16/2012 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00516600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |