Healthcare Provider Details

I. General information

NPI: 1346351327
Provider Name (Legal Business Name): AMY M ADELBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 HIGH ST SUITE 230
DENVER CO
80205-5503
US

IV. Provider business mailing address

2055 HIGH ST SUITE 230
DENVER CO
80205-5503
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9990
  • Fax:
Mailing address:
  • Phone: 303-860-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number42405
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: