MEDICARE: DR. ADAM F BARRISON MD

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	207RG0100X	Gastroenterology Physician	MA71875	NJ

General Provider Information

NPI Number	:	1669473328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM F BARRISON MD

Provider Business Mailing Address
First Line	:	1 DIAMOND HILL RD
Second Line	:	SUMMIT MEDICAL GROUP
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:	908-273-4300
Fax Number	:	908-673-7140

Provider Business Practice Location Address
First Line	:	1 DIAMOND HILL RD
Second Line	:	SUMMIT MEDICAL GROUP
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:	908-273-4300
Fax Number	:	908-673-7140

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	03/25/2008

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