Provider Demographics
NPI:1952495798
Name:HOLZBERG, ADAM S (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:HOLZBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 DELSEA DR N
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1444
Mailing Address - Country:US
Mailing Address - Phone:856-507-2783
Mailing Address - Fax:856-566-2755
Practice Address - Street 1:2950 COLLEGE DR STE 2A
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6933
Practice Address - Country:US
Practice Address - Phone:856-641-8680
Practice Address - Fax:856-641-8679
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06514100207V00000X, 207VF0040X, 2086S0122X
NJNJMB65141207VF0040X
NJMB65141207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8270104Medicaid
NJ785781OtherMEDICARE
NJ840402OtherAMERIHEALTH PPO/PA BS
NJP859129OtherOXFORD HEALTH PLAN
NJ26303OtherUNIVERISTY HEALTH PLAN
NJ2969287OtherAETNA
NJ0743893000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1960117OtherUNITED HEALTHCARE
NJ8270104Medicaid
NJ2359543OtherAETNA
NJ3315639OtherCIGNA
NJ3315639OtherCIGNA
NJ2359543OtherAETNA
NJ2969287OtherAETNA
NJ1125574OtherHORIZON NJ HEALTH