Provider Demographics
NPI:1851331565
Name:ADAMS, THOMAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:45 HERRICK RD
Mailing Address - Street 2:SOUTHWEST HARBOR MEDICAL CENTER
Mailing Address - City:SOUTHWEST HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04679-4433
Mailing Address - Country:US
Mailing Address - Phone:207-244-5513
Mailing Address - Fax:207-244-5515
Practice Address - Street 1:45 HERRICK RD
Practice Address - Street 2:SOUTHWEST HARBOR MEDICAL CENTER
Practice Address - City:SOUTHWEST HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04679-4433
Practice Address - Country:US
Practice Address - Phone:207-244-5513
Practice Address - Fax:207-244-5515
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME012400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM252901Medicare PIN
MEMM2529Medicare PIN
MEE12677Medicare UPIN
MEMM252902Medicare PIN