Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 225038 | MA |
NPI | 1053412833 |
---|---|
Provider Name | Adam N Strozier |
First Address | Peabody, MA 01960-2910 |
Second Address | Peabody, MA 01960-2910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 30/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2111489 | (05) | MA |
494381 | TUFTS (01) | |
J29520 | (02) | |
M19083 | BCBS (01) |