Adams, Taeseon J

Adams, Taeseon J is an individual health care provider with primary practice located at 200 Springs Rd , Bedford MA 01730-1114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Adams, Taeseon J can be contacted via phone (781) 687-2000.

Contact Information

Primary practice address
200 Springs Rd Bedford MA 01730-1114
Phone: (781) 687-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 192447 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 192447 Massachusetts

Profile Details

NPI number 1043364029
LBN Legal business name Adams, Taeseon J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043364029 NPPES
Massachusetts MEDICAID 0357375

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