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NPI Code Detail

MEDICARE: ADAM P WHITEHEAD M.D.

MEDICARE:   ADAM P WHITEHEAD  M.D.
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
1207R00000XInternal Medicine Physician201705NY

General Provider Information

NPI Number : 1780687236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM P WHITEHEAD M.D.
Provider Business Mailing Address
First Line : 41 CASTLE POINT RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7004
Country : US
Telephone Number : 845-831-2000
Fax Number : 845-838-5279
Provider Business Practice Location Address
First Line : 41 CASTLE POINT RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7004
Country : US
Telephone Number : 845-831-2000
Fax Number : 845-838-5279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 07/23/2020

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Directions to “ ADAM P WHITEHEAD M.D.” Practice Location

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