Basic Information
| Provider Information | |||||||||
| NPI: | 1104881697 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADIRIM | ||||||||
| FirstName: | TERRY | ||||||||
| MiddleName: | ALAYNE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3601 A ST | ||||||||
| Address2: | ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191341043 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3601 A ST | ||||||||
| Address2: | ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191341043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154275000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 11/21/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0204X | MD 052098L | PA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine | 2080P0204X | 20729 MD | DC | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine | 2080P0204X | D0050568 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Emergency Medicine | 2080S0010X | MD 052098L | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | Sports Medicine | 2080S0010X | 20729 MD | DC | N | Allopathic & Osteopathic Physicians | Pediatrics | Sports Medicine | 2080S0010X | D0050568 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics | Sports Medicine |
No ID Information.