Doctor Name: | ADAM RODMAN |
NPI Number: | 1780681536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA00283 |
Business Practice Address: | 65 Eddie Dowling Hwy North Smithfield, RI - 028967305 |
Business Phone Number: | 4017692222 |
Business Fax Number: | |
Mailing Address: | 65 Eddie Dowling Hwy, NORTH SMITHFIELD |
State: | RI |
Postal Code: | 028967305 |
Phone Number: | 4017692222 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA00283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |