Individual
ADAM ADENWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 S 20TH ST, PHILADELPHIA, PA 19146-1303
(972) 689-4278
Mailing address
718 S 20TH ST, PHILADELPHIA, PA 19146
(972) 689-4278
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD477056
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD477056
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
07/08/2022
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