Basic Information
Provider Information
NPI: 1982379798
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADAMSON
FirstName: ELIZABETH
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2100 MACK BLVD FL 4
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181035622
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber:  
Practice Location
Address1: 1210 S CEDAR CREST BLVD STE 2400
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036235
CountryCode: US
TelephoneNumber: 6104023888
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/13/2021
LastUpdateDate: 08/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0216XSP024225PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology

No ID Information.


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