Provider Demographics
NPI:1366569659
Name:FLAGG, JAMES PAUL II (CSA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:FLAGG
Suffix:II
Gender:M
Credentials:CSA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 RESEARCH CT
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6252
Mailing Address - Country:US
Mailing Address - Phone:240-403-4067
Mailing Address - Fax:301-519-8001
Practice Address - Street 1:1 RESEARCH CT
Practice Address - Street 2:SUITE 450
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3221
Practice Address - Country:US
Practice Address - Phone:240-403-4067
Practice Address - Fax:301-519-8001
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2021-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCSA0004246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1265423016OtherGROUP NPI