Basic Information
| Provider Information | |||||||||
| NPI: | 1790766038 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADAMSON AND DEMBITSKY MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8010 FROST ST. | ||||||||
| Address2: | STE. 408 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8589397471 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8010 FROST ST. | ||||||||
| Address2: | STE. 408 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8589397471 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2005 | ||||||||
| LastUpdateDate: | 04/17/2015 | ||||||||
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| AuthorizedOfficialLastName: | ADAMSON | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | MICHAEL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8589397471 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | B2003016851 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
No ID Information.