Healthcare Provider Details

I. General information

NPI: 1477418531
Provider Name (Legal Business Name): MARJORIE ADAMS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CEDAR HILL RD
DOVER MA
02030-1631
US

IV. Provider business mailing address

7 CEDAR HILL RD
DOVER MA
02030-1631
US

V. Phone/Fax

Practice location:
  • Phone: 650-492-0627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2363546
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: