Active NPIIndividual provider

Adam Douglas, MD

Family Medicine in Freehold, New Jersey

NPI Number1750733309
Practice location
1001 W Main St, Suite B, Freehold, NJ 07728-2579
Fax
732-409-2621
Last updated
May 4, 2021

Adam Douglas is a Family Medicine based in Freehold, NJ. Adam Douglas practices in Freehold, NJ and has the professional credentials of MD. The NPI Number for Adam Douglas is 1750733309 and holds a License No. 25MA10649400 (NJ). The current practice location address for Adam Douglas is 1001 W Main St, Suite B, Freehold, NJ 07728-2579 and can be reached out via phone at 732-294-2540 and via fax at 732-409-2621.

Provider Profile Details

NPI Number
1750733309
Provider Name
Adam Douglas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 W Main St, Suite B, Freehold, NJ 07728-2579
Phone Number
732-294-2540
Fax Number
732-409-2621
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2016
Last Update Date
May 4, 2021
Certification Date
May 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 W Main St
Suite B
Freehold, NJ 07728-2579
Zip
07728-2579
Phone Number
732-294-2540
Fax Number
732-409-2621
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1001 W Main St
Suite B
Freehold, NJ 07728-2579
City
Freehold
State
NJ
Zip
07728-2579
Phone Number
732-294-2540
Fax Number
732-409-2621

License Information

License Number
25MA10649400
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adam Douglas, MD?

The NPI number of Adam Douglas, MD is 1750733309. It was assigned on July 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Adam Douglas, MD?

Adam Douglas, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10649400.

Where does Adam Douglas, MD practice?

The practice location is 1001 W Main St, Suite B, Freehold, NJ 07728-2579. The office can be reached at 732-294-2540 (phone) or 732-409-2621 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750733309 directly on the NPPES registry website.

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