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NPI Code Detail

MEDICARE: DR. GEORGINA A ADJEI MD

MEDICARE: DR. GEORGINA A ADJEI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician62876AZ
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164953147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGINA A ADJEI MD
Provider Business Mailing Address
First Line : 20440 N 27TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-3240
Country : US
Telephone Number : 201-282-1200
Fax Number :
Provider Business Practice Location Address
First Line : 20440 N 27TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-3240
Country : US
Telephone Number : 480-882-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 07/18/2022

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