Provider Demographics
NPI:1003818600
Name:BECK, ADAM P (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:P
Last Name:BECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-2605
Mailing Address - Country:US
Mailing Address - Phone:978-682-4040
Mailing Address - Fax:978-682-4070
Practice Address - Street 1:75 GILCREAST RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3564
Practice Address - Country:US
Practice Address - Phone:603-421-0095
Practice Address - Fax:603-421-0093
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA217143207W00000X
NH12594207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204108Medicaid
MA2014688Medicaid
NH30204108Medicaid
MA2014688Medicaid
MAM21742Medicare PIN
NH1003818600Medicare NSC