Individual provider · NPI-1

Dr. Robert Deciucis Adamo, M.D.

Radiology, Vascular & Interventional Radiology · Philadelphia, PA

NPI number1093922528
StatusActive
Last updated in NPPESSep 10, 2014

Details

NPI
1093922528
Entity type
Individual (NPI-1)
Name
Dr. Robert Deciucis Adamo
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Last updated
Sep 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional RadiologyMD434843PAYes
2085R0204X Radiology, Vascular & Interventional Radiology250449MA

Practice location

111 S 11th St
Suite 3390
Philadelphia, PA 19107-4824

Phone 215-955-2900 · Fax 215-923-1562

Mailing address

111 S 11th St
Suite 3390
Philadelphia, PA 19107-4824

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