Provider Demographics
NPI:1871094623
Name:ADAMS ENDOCRINOLOGY ASSOCIATES LLC
Entity type:Organization
Organization Name:ADAMS ENDOCRINOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ELLIS
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-287-0430
Mailing Address - Street 1:20 EXPEDITION TRL STE 204
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8599
Mailing Address - Country:US
Mailing Address - Phone:717-287-0430
Mailing Address - Fax:717-287-0431
Practice Address - Street 1:20 EXPEDITION TRL STE 204
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-8599
Practice Address - Country:US
Practice Address - Phone:717-287-0430
Practice Address - Fax:717-287-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438989207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty