Dr. James George Macconchie III, MD
Student in an Organized Health Care Education/Training Program in Binghamton, NY. Individual provider (NPI-1).
NPI number1508351925
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1508351925
- Entity type
- Individual (NPI-1)
- Name
- Dr. James George Macconchie III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Certification date
- Apr 21, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
| 208600000X | Surgery | MT216945 | PA |
Practice location
169 Riverside DrBinghamton, NY 13905-4246
Phone 607-798-5111
Mailing address
791 Heritage WayToms River, NJ 08753-3482
Phone 732-691-5434
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