Provider Demographics
NPI:1447250972
Name:HARKINS, JAMES P (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:HARKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3217 W CHESTER PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4220
Mailing Address - Country:US
Mailing Address - Phone:610-359-9997
Mailing Address - Fax:610-359-0435
Practice Address - Street 1:3217 W CHESTER PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4220
Practice Address - Country:US
Practice Address - Phone:610-359-9997
Practice Address - Fax:610-359-0435
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD028953E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C28263Medicare UPIN
PA035052Medicare ID - Type Unspecified