Provider Demographics
NPI:1174650501
Name:LIPWORTH, ADAM DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DANIEL
Last Name:LIPWORTH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:67 S. BEDFORD STREET
Mailing Address - Street 2:LAHEY HOSPITAL & MEDICAL CENTER
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803
Mailing Address - Country:US
Mailing Address - Phone:781-744-5115
Mailing Address - Fax:781-744-5687
Practice Address - Street 1:67 S. BEDFORD STREET
Practice Address - Street 2:LAHEY HOSPITAL & MEDICAL CENTER
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-744-5115
Practice Address - Fax:781-744-5687
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MA242685207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology