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Individual

DR. JAMES EDWARD VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
JAMES VAUGHAN

Contact information

Practice address
650 FOSTER AVE, ELMIRA, NY 14905-1721
(607) 358-7492
Mailing address
650 FOSTER AVE, ELMIRA, NY 14905-1721
(607) 358-7492

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
135833
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135833
STATE MEDICAL LICENSE
NY
Enumeration date
01/28/2009
Last updated
01/28/2009
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