Individual
GREGORY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
Mailing address
626 TRAIL AVE, FREDERICK, MD 21701-4934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18447
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBC4HO-61015504
BC/BS
MD
01
—
S404-0013
CAREFIRST
MD
Enumeration date
07/25/2006
Last updated
07/10/2008
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