Individual
DR. TARO JOHN ADACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 THOMAS JOHNSON DR, FREDERICK, MD 21702-4301
(301) 663-6171
(301) 695-4469
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D41017
MD
207VX0000X
Obstetrics Physician
D41017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233779006
CIGNA
—
01
—
107649
COVENTRY
—
01
—
4604839
AETNA
—
01
—
533865
ALLIANCE
—
05
—
589081100
—
MD
01
—
DA67TJ
BCBS
—
Enumeration date
10/04/2006
Last updated
06/20/2023
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