Individual
DR. ADAM L DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS016954
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102934716
—
PA
01
—
12703338
CAQH
—
01
—
1467688747
NPI
—
Enumeration date
06/01/2009
Last updated
05/17/2021
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