Individual
MR. JAMES EDWARD MACBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
23 MOUNTAIN BLVD, SUITE 1, WARREN, NJ 07059-5611
(908) 756-8898
(908) 756-8899
Mailing address
23 MOUNTAIN BLVD, SUITE 1, WARREN, NJ 07059-5611
(908) 756-8898
(908) 756-8899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00572900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31001
CIGNAORTHONET
NJ
01
—
552313
AETNA
NJ
01
—
650022727
RAILROAD MEDICARE
NJ
01
—
6602823
GHI
NJ
01
—
8379444
CIGNA
NJ
01
—
897317000
AMERIHEALTH
NJ
01
—
TS152
OXFORD
NJ
Enumeration date
12/16/2006
Last updated
12/01/2009
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