Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 22DI02561100 | NJ |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN25577 | FL |
NPI | 1083857221 |
---|---|
Provider Name | Dr. Adam Schuessler |
First Address | Morganville, NJ 07751-1241 |
Second Address | Port Saint Lucie, FL 34986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 07/02/2021 |