Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD046260 | DC |
NPI | 1326468562 |
---|---|
Provider Name | Adam J Visconti |
First Address | Washington, DC 20015-1612 |
Second Address | Washington, DC 20002-3350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2014 |
Last Update Date | 18/08/2021 |