Individual
JONATHAN D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 E PARK AVE, STATE COLLEGE, PA 16803-6706
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
(717) 531-6934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD027382E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009777110002
—
PA
Enumeration date
04/17/2006
Last updated
08/13/2012
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