Adam Adamidis

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI 1962899641 · NPPES record last updated Jun 15, 2018

Key facts

NPI
1962899641
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
263086 (MA)
Practice address
Baystate Medical Center 759 Chestnut St
Springfield, MA 01199
Phone
(413) 794-0000
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 263086 MA Yes

Addresses

Primary practice location

Baystate Medical Center 759 Chestnut St
Springfield, MA 01199

Mailing address

Baystate Medical Center 759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Other providers in Springfield, MA

All providers in Springfield, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.