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Individual

DR. JAMES MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
24 SALT POND RD, UNIT E1, WAKEFIELD, RI 02879-4314
(401) 783-2424
(401) 789-2095
Mailing address
24 SALT POND RD, UNIT E1, WAKEFIELD, RI 02879-4314
(401) 783-2424
(401) 789-2095

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DPM00281
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000007213
GENERIC4 GROUP NUMBER
01
0000031649
BCBC OF RI
RI
01
1164100001
GENERIC6
01
1358850
AETNA HMO
RI
01
164100001
RAILROAD MEDICARE
RI
01
204928511
UNITED HEALTH CARE
RI
01
2944
NEIGHBORHOOD HEALTH PLANS
01
400540
BLUE CHIP RI
RI
01
400540
BLUE CHIP GROUP NUMBER
01
480020466
GENERIC7
01
580173
GENERIC3 GROUP NUMBER
01
5807131
AETNA COMMERCIAL
RI
01
583173
GENERIC3
05
7008235
RI
01
9146868001
CIGNA GROUP NUMBER
01
AA69500
HARVARD PILGRIM
RI
01
PT SSN #
TRI CARE
RI
Enumeration date
04/11/2006
Last updated
08/29/2012
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