| James D. Adamo, M.d., P.c. | |
|
131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 | |
| (313) 885-0052 | |
| (313) 885-6807 |
| Full Name | James D. Adamo, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 131 Kercheval Ave, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | James D Adamo (OWNER / PRESIDENT) |
| Authorized Official Contact | 3138850052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. Adamo, M.d., P.c. 131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 Ph: (313) 885-0052 | James D. Adamo, M.d., P.c. 131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 Ph: (313) 885-0052 |
| NPI Number | 1932367109 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 06/28/2011 |
| Medicare PECOS PAC ID | 7810165768 |
|---|---|
| Medicare Enrollment ID | O20110719000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932367109 | NPI | - | NPPES |
| 2886760 | Medicaid | MI | |
| E49417 | Other | UPIN# | |
| 1851311021 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301049159 (Michigan) | Primary |
| Provider Name | James D Adamo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851311021 PECOS PAC ID: 8820047541 Enrollment ID: I20110426000532 |
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