Individual
DR. ADAM ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSC
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD # 111, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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