MEDICARE: DR. CHARLES ADAMO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0018566	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0099	OTHER	MD	CAREFIRST DC
2	2108409	OTHER		AETNA HMO
3	283144	OTHER	MD	MAMSI
4	5409729	OTHER		AATNA PPO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	110093	OTHER		COVENTRY
7	099517	OTHER	MD	JOHNS HOPKINS HEALTHCARE
8	1808419	OTHER		UNITED HEALTHCARE
9	9956	OTHER		KAISER
10	35210101	OTHER		CAREFIRST MARYLAND
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	9985122001	OTHER		CIGNA
13	700247	OTHER		NCPPO

General Provider Information

NPI Number	:	1063437358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES ADAMO M.D.

Provider Business Mailing Address
First Line	:	1420 HOWARD RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-4721
Country	:	US
Telephone Number	:	410-295-3383
Fax Number	:

Provider Business Practice Location Address
First Line	:	2629 RIVA RD
Second Line	:	SIOTE 112
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7428
Country	:	US
Telephone Number	:	410-266-1000
Fax Number	:	410-573-4028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. CHARLES ADAMO M.D.” Practice Location

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