Provider Demographics
NPI:1689751695
Name:OFER, ADAM (MD)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:OFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12 AVERY PL
Mailing Address - Street 2:AVERY CENTER OB GYN
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880
Mailing Address - Country:US
Mailing Address - Phone:203-227-5125
Mailing Address - Fax:203-222-7180
Practice Address - Street 1:12 AVERY PL
Practice Address - Street 2:AVERY CENTER OB GYN
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3223
Practice Address - Country:US
Practice Address - Phone:203-227-5125
Practice Address - Fax:203-222-7180
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT041023207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88116Medicare UPIN