Provider Demographics
NPI:1932385713
Name:PETER F. ADLAND, M.D., P.A.
Entity Type:Organization
Organization Name:PETER F. ADLAND, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:F
Authorized Official - Last Name:ADLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-489-9316
Mailing Address - Street 1:21 W COLONY PL
Mailing Address - Street 2:STE 230
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5589
Mailing Address - Country:US
Mailing Address - Phone:919-489-9316
Mailing Address - Fax:
Practice Address - Street 1:21 WEST COLONY PLACE
Practice Address - Street 2:SUITE 230
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5589
Practice Address - Country:US
Practice Address - Phone:919-489-9316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10423OtherBCBS
NC2311751Medicare PIN