Healthcare Provider Details

I. General information

NPI: 1669645792
Provider Name (Legal Business Name): ADAM JOSEPH DOYLE M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 03/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WHITE SPRUCE BLVD SUITE 220
ROCHESTER NY
14623-1605
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 653
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-279-5100
  • Fax: 585-756-7752
Mailing address:
  • Phone: 585-279-5100
  • Fax: 585-756-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number274433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: