Provider Demographics
NPI:1194011304
Name:ALFORD, ADRIAN AARON (MED)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:AARON
Last Name:ALFORD
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 LOCUST ST FL 2
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4007
Mailing Address - Country:US
Mailing Address - Phone:603-793-9226
Mailing Address - Fax:
Practice Address - Street 1:145 LOCUST ST FL 2
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4007
Practice Address - Country:US
Practice Address - Phone:603-793-9226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health