Provider Demographics
NPI:1326139221
Name:CRAIG, ADAM P (ND)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:P
Last Name:CRAIG
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:850 N MAIN STREET EXT
Mailing Address - Street 2:BLDG 2 SUITE 3B
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2400
Mailing Address - Country:US
Mailing Address - Phone:203-980-4161
Mailing Address - Fax:203-284-1050
Practice Address - Street 1:850 N MAIN STREET EXT
Practice Address - Street 2:BLDG 2 SUITE 3B
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2400
Practice Address - Country:US
Practice Address - Phone:203-980-4161
Practice Address - Fax:203-284-1050
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000332175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath