Provider Demographics
NPI:1982264420
Name:ADAMS, AARON B (ACU)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:B
Last Name:ADAMS
Suffix:
Gender:M
Credentials:ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 DAHL TER
Mailing Address - Street 2:
Mailing Address - City:NEWFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08344-9202
Mailing Address - Country:US
Mailing Address - Phone:318-294-9592
Mailing Address - Fax:
Practice Address - Street 1:1439 E FORT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5215
Practice Address - Country:US
Practice Address - Phone:443-500-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist