Dr. Theresa Adams, M.D.
Emergency Medicine in New London, CT. Individual provider (NPI-1).
NPI number1457678138
StatusActive
Last updated in NPPESJun 18, 2013
Details
- NPI
- 1457678138
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theresa Adams
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2010
- Last updated
- Jun 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 051847 | CT | Yes |
Other names
- Theresa Fairbank (Former Name)
Practice location
365 Montauk AveNew London, CT 06320-4700
Phone 860-442-0711
Mailing address
365 Montauk AveNew London, CT 06320-4700
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