Provider Demographics
NPI:1104052109
Name:JAMES A. WATSON M.D. INC
Entity type:Organization
Organization Name:JAMES A. WATSON M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-534-0678
Mailing Address - Street 1:8833 MONTEREY RD
Mailing Address - Street 2:STE. G
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-7200
Mailing Address - Country:US
Mailing Address - Phone:408-842-6500
Mailing Address - Fax:
Practice Address - Street 1:8833 MONTEREY RD
Practice Address - Street 2:SUITE G
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-7200
Practice Address - Country:US
Practice Address - Phone:408-842-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98977207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty