Basic Information
Provider Information
NPI: 1437619111
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ENGLISH
FirstName: JAMES
MiddleName: G
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 56 CABOT ST
Address2:  
City: MILTON
State: MA
PostalCode: 021864219
CountryCode: US
TelephoneNumber: 6178720637
FaxNumber:  
Practice Location
Address1: 1 BOSTON MEDICAL CTR PL
Address2:  
City: BOSTON
State: MA
PostalCode: 021182908
CountryCode: US
TelephoneNumber: 6176388000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2019
LastUpdateDate: 03/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X390200000XMAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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