Healthcare Provider Details

I. General information

NPI: 1134194053
Provider Name (Legal Business Name): JOHN M ADAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOHN M ADAMS M.D.

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MADISON AVE STE 304
MORRISTOWN NJ
07960-6389
US

IV. Provider business mailing address

100 MADISON AVE, BOX 88
MORRISTOWN NJ
07896
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-7200
  • Fax:
Mailing address:
  • Phone: 973-971-5863
  • Fax: 973-290-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number25MA06529200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: