Doctor Name: | MERVIN L ADAMS |
NPI Number: | 1174849467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 158074 |
Business Practice Address: | 36 Ayles Rd Hyde Park, MA - 021363802 |
Business Phone Number: | 6173612961 |
Business Fax Number: | |
Mailing Address: | 36 Ayles Rd, HYDE PARK |
State: | MA |
Postal Code: | 021363802 |
Phone Number: | 6173612961 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 158074 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |