Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 249877 | MA |
N | 207PE0004X | Emergency Medical Services | 249877 | MA |
NPI | 1194950899 |
---|---|
Provider Name | Adam C. Darnobid |
First Address | Ashburnham, MA 01430-1669 |
Second Address | Athol, MA 01331-3535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110091082A | (05) | MA |