Individual
MR. BASIL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 381-4200
Mailing address
78 BEANE LN, NEWINGTON, NH 03801-2728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00794000
NJ
Other
Enumeration date
06/06/2023
Last updated
07/08/2024
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