Individual
DR. JAMES LOUIS FUQUA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, DEPARTMENT OF RADIOLOGY, 2ND FLOOR, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
404 E 66TH ST, APT. PHD, NEW YORK, NY 10065-9308
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
242871
NY
2085R0202X
Diagnostic Radiology Physician
39966
TN
Other
Enumeration date
04/23/2007
Last updated
07/14/2008
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