Individual
JAMES W WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4518 UNION DEPOSIT RD, HARRISBURG, PA 17111
(717) 652-5840
(717) 652-8152
Mailing address
4520 UNION DEPOSIT ROAD, HARRISBURG, PA 17111
(717) 652-6105
(717) 652-2165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD026416E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009072310021
—
PA
05
—
0009072610001
—
PA
05
—
0009072610015
—
PA
05
—
0009072610017
—
PA
05
—
0009072610020
—
PA
01
—
300057789
RAILROAD MEDICARE
PA
Enumeration date
09/06/2005
Last updated
09/11/2013
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