Individual
DR. ADAM PAUL VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 BERKSHIRE BLVD STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 375-1262
Mailing address
985 BERKSHIRE BLVD STE 101, WYOMISSING, PA 19610-1268
(610) 374-5599
(610) 375-1262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247774
MA
207Y00000X
Otolaryngology Physician
Primary
MD459611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032662510002
—
PA
Enumeration date
06/10/2011
Last updated
03/16/2023
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