MEDICARE: AARON B ADAMS ACU

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	171100000X	Acupuncturist		MD

General Provider Information

NPI Number	:	1982264420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON B ADAMS ACU

Provider Business Mailing Address
First Line	:	2053 DAHL TER
Second Line	:
City	:	NEWFIELD
State	:	NJ
Zip	:	08344-9202
Country	:	US
Telephone Number	:	318-294-9592
Fax Number	:

Provider Business Practice Location Address
First Line	:	1439 E FORT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-5215
Country	:	US
Telephone Number	:	443-500-4300
Fax Number	:

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	06/17/2019

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