Individual provider · NPI-1

Jacob Alan Adams, D.O.

Anesthesiology, Pediatric Anesthesiology · Bethesda, MD

NPI number1215274287
StatusActive
Last updated in NPPESNov 1, 2024

Details

NPI
1215274287
Entity type
Individual (NPI-1)
Name
Jacob Alan Adams
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2013
Certification date
Nov 1, 2024
Last updated
Nov 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP3000X Anesthesiology, Pediatric Anesthesiology0102203878VAYes
208D00000X General Practice0102203878VA

Practice location

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Phone 301-295-4459

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Other practice locations

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone 757-953-0669

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