Provider Demographics
NPI:1467429431
Name:ADAMS, MARC (DO)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:28 MARKET ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-3941
Mailing Address - Country:US
Mailing Address - Phone:508-397-8791
Mailing Address - Fax:508-448-5800
Practice Address - Street 1:28 MARKET ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-3941
Practice Address - Country:US
Practice Address - Phone:508-397-8791
Practice Address - Fax:508-448-5800
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA218434208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA39472Medicare PIN