Healthcare Provider Details

I. General information

NPI: 1497827703
Provider Name (Legal Business Name): CALEB M ADLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 STETSON AVENUE
CINCINNATI OH
45219
US

IV. Provider business mailing address

260 STETSON AVENUE
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-7700
  • Fax: 513-558-0877
Mailing address:
  • Phone: 513-558-7700
  • Fax: 513-558-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.075674
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: