Provider Demographics
NPI:1669697330
Name:ADAM J TEICHMAN DPM
Entity type:Organization
Organization Name:ADAM J TEICHMAN DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-432-9593
Mailing Address - Street 1:6997 TUSCANY DR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8971
Mailing Address - Country:US
Mailing Address - Phone:610-432-9593
Mailing Address - Fax:610-432-4887
Practice Address - Street 1:2895 HAMILTON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6172
Practice Address - Country:US
Practice Address - Phone:610-432-9593
Practice Address - Fax:610-432-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005850213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00388796OtherRRB - MEDICARE RAILROAD
PA1294499OtherCIGNA HEALTH CARE
PA1557148OtherGATEWAY HEALTH PLAN
PA1903786OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA20049033OtherAMERIHEALTH MERCY
PA2773605000OtherINDEPENDENCE BLUE CROSS
PA50064486OtherCAPITAL BLUE CROSS
PA106115OtherSTERLING
PA2773605000OtherKEYSTONE
PA2773605000OtherAMERIHEALTH ADMINISTRATORS
PAP00388796OtherRRB - MEDICARE RAILROAD
PA50064486OtherCAPITAL BLUE CROSS
PA2773605000OtherINDEPENDENCE BLUE CROSS