Individual
JAMES F MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS004000L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000740274
—
PA
01
—
128726FSE
MEDICARE GROUP
PA
01
—
597586JTQ
MEDICARE GROUP
PA
01
—
P00691520
RR MEDICARE
PA
01
—
P00753268
RAILROAD MEDICARE
PA
Enumeration date
04/21/2006
Last updated
03/04/2016
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