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Individual

JAMES W FAULK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31 SHERMAN ST, JAMESTOWN, NY 14701-7079
(716) 483-3619
(716) 484-9633
Mailing address
PO BOX 41, JAMESTOWN, NY 14702-0041
(716) 487-1124
(716) 487-2488

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
097239
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02162361
NY
Enumeration date
05/20/2006
Last updated
12/17/2007
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