1265501902 NPI number — DR. JAMES COLLINS CAMERON D.C.

Table of content: DR. JAMES COLLINS CAMERON D.C. (NPI 1265501902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265501902 NPI number — DR. JAMES COLLINS CAMERON D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMERON
Provider First Name:
JAMES
Provider Middle Name:
COLLINS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265501902
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
65 ROUTE 22
Provider Second Line Business Mailing Address:
SUITE 1A
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08809-1315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-735-2090
Provider Business Mailing Address Fax Number:
908-735-2098

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
65 ROUTE 22
Provider Second Line Business Practice Location Address:
SUITE 1A
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08809-1315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-735-2090
Provider Business Practice Location Address Fax Number:
908-735-2098
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00281600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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