Gaynor, James William

Gaynor, James William is an individual health care provider with primary practice located at 34Th & Civic Center Blvd , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gaynor, James William can be contacted via phone (215) 590-2708.

Contact Information

Primary practice address
34Th & Civic Center Blvd Philadelphia PA 19104
Phone: (215) 590-2708
Fax: (215) 590-2715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD055292L Pennsylvania

Profile Details

NPI number 1346338746
LBN Legal business name Gaynor, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346338746 NPPES
Pennsylvania MEDICAID 001509044

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