Healthcare Provider Details

I. General information

NPI: 1720051154
Provider Name (Legal Business Name): RICHARD D ADELMAN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 SIX FORKS RD STE 260
RALEIGH NC
27615
US

IV. Provider business mailing address

7320 SIX FORKS RD STE 260
RALEIGH NC
27615-5284
US

V. Phone/Fax

Practice location:
  • Phone: 919-846-9292
  • Fax: 919-848-3638
Mailing address:
  • Phone: 919-846-9292
  • Fax: 919-848-3638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: RICHARD D ADELMAN
Title or Position: OWNER
Credential: MD
Phone: 919-846-9292