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Individual

DR. ADAM TERRENCE CHRUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 TOWNSHIP LINE RD STE 110, BLUE BELL, PA 19422-2721
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD432526
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
ME153117
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102301230-00
PA
01
154946-JDB
MEDICARE
PA
Enumeration date
06/09/2008
Last updated
02/15/2022
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