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NPI Code Detail

MEDICARE: ADAM JOSEPH LAFERRIERE PA-C

MEDICARE: ADAM JOSEPH LAFERRIERE PA-C
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
1363AM0700XMedical Physician AssistantAP2619MA

General Provider Information

NPI Number : 1730330937
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM JOSEPH LAFERRIERE PA-C
Provider Business Mailing Address
First Line : PO BOX 74008272
Second Line :
City : CHICAGO
State : IL
Zip : 60674-8272
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 245 BILLERICA RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-4114
Country : US
Telephone Number : 872-231-3162
Fax Number : 702-977-1496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 10/21/2025

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Directions to “ ADAM JOSEPH LAFERRIERE PA-C” Practice Location

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