Provider Demographics
NPI:1750583316
Name:WOLDOW, ADAM BERNARD (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BERNARD
Last Name:WOLDOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:853 2ND STREET PIKE
Mailing Address - Street 2:SUITE A1
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1082
Mailing Address - Country:US
Mailing Address - Phone:215-485-5713
Mailing Address - Fax:215-485-5419
Practice Address - Street 1:853 2ND STREET PIKE
Practice Address - Street 2:SUITE A1
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1082
Practice Address - Country:US
Practice Address - Phone:215-485-5713
Practice Address - Fax:215-485-5419
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD439362207N00000X, 207NS0135X, 207NP0225X
NJ25MA08723400207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology