Provider Demographics
NPI:1467688747
Name:DORE, ADAM L (DO)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:L
Last Name:DORE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:575 COAL VALLEY RD STE 573
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3729
Mailing Address - Country:US
Mailing Address - Phone:412-267-6282
Mailing Address - Fax:412-267-2683
Practice Address - Street 1:575 COAL VALLEY RD STE 573
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3729
Practice Address - Country:US
Practice Address - Phone:412-267-6282
Practice Address - Fax:412-267-2683
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2021-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS016954207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102934716Medicaid
12703338OtherCAQH
1467688747OtherNPI