Provider Demographics
NPI:1306896493
Name:TURK, ADAM THEODORE (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:THEODORE
Last Name:TURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 FORT WASHINGTON AVE
Mailing Address - Street 2:STE E
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034
Mailing Address - Country:US
Mailing Address - Phone:215-646-1686
Mailing Address - Fax:215-628-4956
Practice Address - Street 1:1244 FORT WASHINGTON AVE
Practice Address - Street 2:STE E
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034
Practice Address - Country:US
Practice Address - Phone:215-646-1686
Practice Address - Fax:215-628-4956
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027610E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017110Medicaid
C30570Medicare UPIN
PA1017110Medicaid