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Individual

DR. ADAM BARSOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
140 E 56TH ST APT 1C, NEW YORK, NY 10022-3624
(646) 777-2601
Mailing address
1125 COMMONWEALTH AVE, ALLSTON, MA 02134-3201
(617) 459-1234

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060915
NY
1223G0001X
General Practice Dentistry
DN1857010
MA

Other

Enumeration date
08/07/2015
Last updated
04/14/2023
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