Adam Detora
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Adam Detora, M.D. is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Adam Detora is
55 Fruit St, Massachusetts General Hospital, Founders 530, Boston, Massachusetts - 02114-2621. He can be contacted on phone at
617-724-9040.
Adam Detora is a sole proprietor of his business.
NPI number (Unique professional ID) for Adam Detora is
1770710485 which was assigned by NPPES on 20 Jun, 2009 and it was last updated on 29 May, 2015.
Adam Detora license number is
251498 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Massachusetts.
Adam Detora is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Adam Detora basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Adam Detora |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Adam Detora address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Fruit St, Massachusetts General Hospital, Founders 530
Boston, MA, 02114-2621
United States |
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| Phone Number : | 617-724-9040 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1770710485 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jun, 2009 |
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| Last Updated On : | 29 May, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Adam Detora are as mentioned. Primary taxonomy code for Adam Detora, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 251498 | MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1600 Beacon St Apt 411
Brookline, MA, 02446-2224
United States |
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| Phone Number : | 774-272-0273 |
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Business Location:
Patients can refer following map for directions to
Adam Detora practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.