Adam L Church MD

NPI 1093803710 - Emergency Medicine - 207P00000X

NPI Details
NPI 1093803710
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10201 66TH RD
FOREST HILLS NY, 11375-2029, US
Phone (800) 376-5566
Fax
Business Location
PO BOX 30230
30230
HARTFORD CT, 06150-0230, US
Phone (800) 376-5566
Fax
Toxanomy
Taxonomy Code 207P00000X
License State New York
License Number 194348
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According to our database, Adam L Church MD NPI is 1093803710, taxonomy code is 207P00000X and license number is 194348, license state is located at New York. Adam L Church MD physically located at 10201 66th Rd, Forest Hills NY, 11375-2029. NPI Number Adam L Church MD has the Individual type.

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1093803710 NPI number is provided on an as is basis without warranty of any kind. 1093803710 is maintained by the National Plan & Provider Enumeration System. The contents of Adam L Church MD are for informational purposes only.