Dr. James Louis Fuqua III, M.D.
Radiology, Diagnostic Radiology in New York, NY. Individual provider (NPI-1).
NPI number1285852467
StatusActive
Last updated in NPPESJul 14, 2008
Details
- NPI
- 1285852467
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Louis Fuqua III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2007
- Last updated
- Jul 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 242871 | NY | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 39966 | TN |
Practice location
1275 York AveDepartment Of Radiology, 2nd Floor
New York, NY 10065-6007
Phone 212-639-2000
Mailing address
404 E 66th StApt. Phd
New York, NY 10065-9308
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