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NPI Code Detail

MEDICARE: KENNETH G. ADAMS M.D.

MEDICARE: KENNETH G. ADAMS 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
1207RC0000XCardiovascular Disease Physician49552MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4060061827OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10011274OTHERNEIGHBORHOOD HEALTH PLAN
2A160348OTHERINTEGRATED HEALTH PLAN
3B74327OTHERNHANTHEM BLUE CROSS
5J02809OTHERMABLUE CROSS BLUE SHIELD
6049552OTHERMATUFTS HEALTH PLAN
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
82186788OTHERMACIGNA
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10875007OTHERNETWORK HEALTH
11678820OTHERMAHEALTHSOURCE
121720082787OTHERAETNA - HMO
134365257OTHERAETNA -- NON-HMO
14300015OTHERMAHARVARD PILGRIM HEALTHCAR

General Provider Information

NPI Number : 1720082787
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH G. ADAMS M.D.
Provider Business Mailing Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3288
Fax Number : 978-469-5644
Provider Business Practice Location Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3270
Fax Number : 978-469-5644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 08/16/2011

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