Individual
DR. JAMES WILLIAM GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-2708
(215) 590-2715
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD055292L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001509044
—
PA
Enumeration date
10/11/2006
Last updated
04/11/2013
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