NPI

Adam Douglas Diem

NPI 1568039519

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2021-06-08
Last updated
2022-01-26

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Specialties

Licenses

License MD
R212608

Location

Practice location
5806 Church Ln
City
Hydes MD
Postal code
21082-9722
Phone
(443) 604-2530

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Hydes, MD. 6 records in the public file.

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