Adult Medicine & Aesthetics, LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADULT MEDICINE & AESTHETICS, LLC.

Practice address

2010 Market St
Camp Hill, PA 17011-4703

Phone

(717) 737-5544

Fax

(717) 214-6872

NPI assigned

Jun 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Marie Daecher, DO

Title

Owner

Phone

(717) 418-2841

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1770519399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114703",
            "telephone_number": "717-737-5544",
            "fax_number": "717-214-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114703",
            "telephone_number": "717-737-5544",
            "fax_number": "717-214-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICINE & AESTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "DAECHER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-418-2841",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020195140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.