Provider Demographics
NPI:1467441857
Name:CEREL, ADAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:W
Last Name:CEREL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:198 GROTON RD, STE 4
Mailing Address - Street 2:CENTRAL MA CARDIOVASCULAR PHYSICIANS, INC
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432
Mailing Address - Country:US
Mailing Address - Phone:978-772-5755
Mailing Address - Fax:978-772-5766
Practice Address - Street 1:198 GROTON RD, STE 4
Practice Address - Street 2:CENTRAL MA CARDIOVASCULAR PHYSICIANS, INC
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432
Practice Address - Country:US
Practice Address - Phone:978-772-5755
Practice Address - Fax:978-772-5766
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2012-10-23
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Provider Licenses
StateLicense IDTaxonomies
MA72365207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
072365OtherTUFTS HEALTH PLAN
AA30889OtherHARVARD PILGRIM HEALTH
MA3069796Medicaid
E51789Medicare UPIN
J09928Medicare ID - Type Unspecified