Provider Demographics
NPI:1821009770
Name:ADAMS, GREGORY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:DAVID
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:121 BECKS WOODS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3851
Mailing Address - Country:US
Mailing Address - Phone:302-836-8200
Mailing Address - Fax:302-836-4302
Practice Address - Street 1:121 BECKS WOODS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3851
Practice Address - Country:US
Practice Address - Phone:302-836-8200
Practice Address - Fax:302-836-4302
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2017-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DECI-0003127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000304001Medicaid
DEDO1172Medicare UPIN
DE0000304001Medicaid