Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 25MA06529200 | NJ |
NPI | 1134194053 |
---|---|
Provider Name | Dr. John M Adams |
First Address | Morristown, NJ 07896 |
Second Address | Morristown, NJ 07960-6389 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G04466 | (02) | NJ |