Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2316 | MA |
N | 222Z00000X | Podiatrist | 2316 | MA |
N | 213EP0504X | Public Medicine | 2316 | MA |
N | 213EP1101X | Primary Podiatric Medicine | 2316 | MA |
N | 111NR0200X | Radiology | 2316 | MA |
N | 213ER0200X | Radiology | 2316 | MA |
N | 2081S0010X | Sports Medicine | 2316 | MA |
N | 213ES0000X | Sports Medicine | 2316 | MA |
N | 213ES0103X | Foot & Ankle Surgery | 2316 | MA |
Y | 213ES0131X | Foot Surgery | PD2316 | MA |
NPI | 1407854094 |
---|---|
Provider Name | Dr. Adam Scott Landsman |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114-2696 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 05/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U55997 | (02) |