Individual
JEFFERY S ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 S STANFIELD RD, STE 304, TROY, OH 45373-2374
(937) 440-7872
(937) 440-7874
Mailing address
3170 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.042734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003863
ANTHEM
—
01
—
0640419
AETNA
—
05
—
0680759
—
OH
01
—
1020049
UNITEDHEALTHCARE
—
01
—
290420811006
MEDICAL MUTUAL
—
01
—
D42734
HUMANA
—
Enumeration date
01/27/2006
Last updated
06/03/2019
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