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Individual

ADAM JACOB FREDERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
3500 VICTORIA ST, PITTSBURGH, PA 15213-2543
(888) 747-0794
Mailing address
914 BLOOMFIELD ST, ROARING SPRING, PA 16673-2008
(814) 937-8151

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN686498
PA

Other

Enumeration date
01/07/2020
Last updated
03/07/2024
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