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NPI Code Detail

MEDICARE: MS. DEBORAH W ADNER PA

MEDICARE: MS. DEBORAH W ADNER PA
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
1363A00000XPhysician Assistant950951MA
2363A00000XPhysician Assistant660MA

General Provider Information

NPI Number : 1821025214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH W ADNER PA
Provider Business Mailing Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number : 857-282-2386
Provider Business Practice Location Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number : 857-282-2386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/29/2023

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