Individual
JAMES F CANTORNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
761 45TH ST STE 123, MUNSTER, IN 46321-2899
(219) 924-2500
(219) 924-2502
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01043716
IN
208000000X
Pediatrics Physician
Primary
01043716
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200201060
—
IN
Enumeration date
04/28/2006
Last updated
04/14/2023
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