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Individual

DR. JAMES H BALCOM IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
104 ENDICOTT ST, SUITE 200, DANVERS, MA 01923-3623
(978) 882-6868
(978) 882-6828
Mailing address
104 ENDICOTT ST, SUITE 200, DANVERS, MA 01923-3623
(978) 882-6868
(978) 882-6828

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
202600
MA
2086S0102X
Surgical Critical Care Physician
202600
MA
2086S0120X
Pediatric Surgery Physician
202600
MA
2086S0127X
Trauma Surgery Physician
202600
MA
2086S0129X
Vascular Surgery Physician
Primary
202600
MA
2086X0206X
Surgical Oncology Physician
202600
MA
208C00000X
Colon & Rectal Surgery Physician
202600
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042530297
COMMERICAL
MA
05
2003180
MA
01
760811
TUFTS
MA
01
BAJ25866
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/21/2006
Last updated
05/18/2012
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