Individual
ADAM MICHAEL NIEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-3325
Mailing address
66 ELM ST APT 42, WESTFIELD, NJ 07090-2182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10433700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
146013200
—
Other
Enumeration date
04/16/2015
Last updated
02/28/2019
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