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Individual

BRIAN ADAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
624 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-3626
(908) 353-3625
Mailing address
404 N 16TH ST, KENILWORTH, NJ 07033-1073
(908) 353-3626
(908) 353-3625

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MAP00341200
NJ

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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