Provider Demographics
NPI:1861881070
Name:CONSIGLI, ADAM ROBERT (MS, PA-C)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:ROBERT
Last Name:CONSIGLI
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Gender:M
Credentials:MS, PA-C
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Mailing Address - Street 1:215 WEST ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2277
Mailing Address - Country:US
Mailing Address - Phone:508-478-6363
Mailing Address - Fax:508-478-0349
Practice Address - Street 1:215 WEST ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2277
Practice Address - Country:US
Practice Address - Phone:508-478-6363
Practice Address - Fax:508-478-0349
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
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Provider Licenses
StateLicense IDTaxonomies
MAPA5241363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant