Provider Demographics
NPI:1679102859
Name:MAGUIRE, JAMES ANTHONY JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTHONY
Last Name:MAGUIRE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FARMVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5703
Mailing Address - Country:US
Mailing Address - Phone:631-833-2404
Mailing Address - Fax:
Practice Address - Street 1:8 FARMVIEW DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5703
Practice Address - Country:US
Practice Address - Phone:631-833-2404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program