Healthcare Provider Details

I. General information

NPI: 1780971531
Provider Name (Legal Business Name): ADAM VOELCKERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 COLLEGE AVE STE 302
LANCASTER PA
17603-3384
US

IV. Provider business mailing address

233 COLLEGE AVE STE 302
LANCASTER PA
17603-3384
US

V. Phone/Fax

Practice location:
  • Phone: 717-291-8512
  • Fax: 717-291-8547
Mailing address:
  • Phone: 717-291-8512
  • Fax: 717-291-8547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD450657
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD450657
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: