Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 52077 | CT |
NPI | 1255300653 |
---|---|
Provider Name | Dr. Diana M. Adams |
First Address | Greenwich, CT 06830-4608 |
Second Address | Greenwich, CT 06830-4608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 18/12/2019 |