Provider Demographics
NPI:1700860038
Name:ADAMS, DONALD WILLIAM JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WILLIAM
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:61 LINCOLN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8264
Mailing Address - Country:US
Mailing Address - Phone:508-872-9288
Mailing Address - Fax:508-620-7368
Practice Address - Street 1:61 LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8264
Practice Address - Country:US
Practice Address - Phone:508-872-9288
Practice Address - Fax:508-620-7368
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2017-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1684213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA122818Medicaid
MAY70764OtherBCBS
T58753Medicare UPIN