Doctor Name: | DR. ADAM M DEBIN |
NPI Number: | 1124016530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102201495 |
Business Practice Address: | 80 Seymour Street Hartford, CT - 061065539 |
Business Phone Number: | 8605452117 |
Business Fax Number: | 8605451784 |
Mailing Address: | 99 East River Drive, 5th Floor EAST HARTFORD |
State: | CT |
Postal Code: | 061087301 |
Phone Number: | 8605452117 |
Fax Number: | 8605451784 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102201495 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |