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NPI 1679537401 · live from the CMS NPI Registry

Jonathan D Adams, MD

Family Medicine in State College, PA. National Provider Identifier 1679537401, active.

NPI record

NPI1679537401 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1850 E Park Ave, State College, PA 16803
Practice phone800-243-1455
Mailing addressPo Box 858, Mc A410, Hershey, PA 17033
EnumeratedApril 17, 2006
Last updatedAugust 13, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000XMD027382E (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.