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NPI Code Detail

MEDICARE: MR. ALFRED EUGENE ADAMS M.D.

MEDICARE: MR. ALFRED EUGENE 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
1174400000XSpecialistG51928CA

General Provider Information

NPI Number : 1811184849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALFRED EUGENE ADAMS M.D.
Provider Business Mailing Address
First Line : 6400 CHRISTIE AVE APT 2409
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1032
Country : US
Telephone Number : 510-658-2385
Fax Number :
Provider Business Practice Location Address
First Line : 510 17TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1553
Country : US
Telephone Number : 510-433-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 10/03/2007

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