Individual
JERRY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(301) 729-9475
(301) 729-9474
Mailing address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(301) 729-9475
(301) 729-9474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D39811
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080119966
RAILROAD MEDICARE
MD
Enumeration date
09/26/2006
Last updated
05/08/2013
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