Provider Demographics
NPI:1003698481
Name:BEZZA, ADAM A
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:A
Last Name:BEZZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-2169
Mailing Address - Country:US
Mailing Address - Phone:781-956-9698
Mailing Address - Fax:
Practice Address - Street 1:770 WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-2169
Practice Address - Country:US
Practice Address - Phone:781-956-9698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography