Provider Demographics
NPI:1821025214
Name:ADNER, DEBORAH W (PA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:W
Last Name:ADNER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:440 FOLEY ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-1213
Mailing Address - Country:US
Mailing Address - Phone:857-282-0777
Mailing Address - Fax:857-282-2386
Practice Address - Street 1:440 FOLEY ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-1213
Practice Address - Country:US
Practice Address - Phone:857-282-0777
Practice Address - Fax:857-282-2386
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA950951363A00000X
MA660363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant