Individual
JAMES FREDERICK MCGUCKIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4220 MARKET ST FL 2, PHILADELPHIA, PA 19104-3007
(215) 240-6007
(215) 240-6373
Mailing address
831 DEKALB PIKE, BLUE BELL, PA 19422-1215
(267) 405-9090
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA05182900
NJ
2085R0204X
Vascular & Interventional Radiology Physician
D62353
MD
2085R0204X
Vascular & Interventional Radiology Physician
MD.202013
LA
2085R0204X
Vascular & Interventional Radiology Physician
MD0000043118
TN
2085R0204X
Vascular & Interventional Radiology Physician
MD050322L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD418485
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018439730003
—
PA
05
—
7012306
—
NJ
01
—
P00431753
RR MEDICARE
NJ
Enumeration date
03/20/2006
Last updated
01/19/2021
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