Individual
ADAM PAUL FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2211 GENESEE ST STE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-7694
Mailing address
2211 GENESEE ST STE 200, UTICA, NY 13501-5930
(315) 733-7598
(315) 733-7694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020935
NY
363AM0700X
Medical Physician Assistant
Primary
020935-1
NY
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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