Provider Demographics
NPI:1730189333
Name:CHRISTMAS CITY OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Entity type:Organization
Organization Name:CHRISTMAS CITY OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-867-6161
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-867-6161
Mailing Address - Fax:610-868-9931
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 402
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-867-6161
Practice Address - Fax:610-868-9931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-025655-E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C34245Medicare UPIN
CH711106Medicare ID - Type Unspecified