Provider Demographics
NPI:1831161421
Name:JAMES, DEBORAH E (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:E
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:799 CONCORD AVE
Mailing Address - Street 2:CHILDREN'S GARDEN PEDIATRICS
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1048
Mailing Address - Country:US
Mailing Address - Phone:617-441-9276
Mailing Address - Fax:617-491-5222
Practice Address - Street 1:799 CONCORD AVE
Practice Address - Street 2:CHILDREN'S GARDEN PEDIATRICS
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1048
Practice Address - Country:US
Practice Address - Phone:617-441-9276
Practice Address - Fax:617-491-5222
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA213874208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0199401Medicaid
MA0199401Medicaid
MAA34363Medicare ID - Type Unspecified