Provider Demographics
NPI:1447287339
Name:PALMER, JAMES N (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 SPRUCE STREET
Mailing Address - Street 2:5 SILVERSTEIN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-2777
Mailing Address - Fax:215-662-4613
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:5 SILVERSTEIN BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-2777
Practice Address - Fax:215-662-4613
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD074245207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018659070001Medicaid
PA0018659070001Medicaid
PA053062Medicare PIN
H20552Medicare UPIN