Individual
ADAM W NORFOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
(814) 272-6501
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053877
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053877
MEDICAL LICENSE
PA
Enumeration date
07/01/2009
Last updated
08/06/2020
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