Provider Demographics
NPI:1194808386
Name:ALBAN, JAMES C (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:ALBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7 BRAMBLEBUSH PARK
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-548-5406
Mailing Address - Fax:508-548-5407
Practice Address - Street 1:7 BRAMBLEBUSH PARK
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-548-5406
Practice Address - Fax:508-548-5407
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA150055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ21745OtherBCBS
043511560OtherPHCS
767091OtherTUFTS
B10437001OtherCIGNA
043511560OtherHCVM
MA9700561Medicaid
69508OtherHARV PILGRIM
767091OtherTUFTS