Provider Demographics
NPI:1821364621
Name:PAGE, ADAM REED (DVM)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:REED
Last Name:PAGE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2348
Mailing Address - Country:US
Mailing Address - Phone:781-826-2306
Mailing Address - Fax:781-829-9270
Practice Address - Street 1:516 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2348
Practice Address - Country:US
Practice Address - Phone:781-826-2306
Practice Address - Fax:781-829-9270
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6999174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian