Provider Demographics
NPI:1659803195
Name:ROSSANO, ADAM JOSEPH (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSEPH
Last Name:ROSSANO
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:3400 SPRUCE STREET
Mailing Address - Street 2:GATES BUILDING 10TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4222
Mailing Address - Country:US
Mailing Address - Phone:215-662-2826
Mailing Address - Fax:215-662-2434
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:GATES BUILDING 10TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4222
Practice Address - Country:US
Practice Address - Phone:215-662-2826
Practice Address - Fax:215-662-2434
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2021-11-17
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Provider Licenses
StateLicense IDTaxonomies
PAMD4751912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry