Healthcare Provider Details

I. General information

NPI: 1669640298
Provider Name (Legal Business Name): HERBERT M. ADLER ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 CHESTNUT ST SUITE 1000
PHILADELPHIA PA
19107-4316
US

IV. Provider business mailing address

1015 CHESTNUT ST SUITE 1000
PHILADELPHIA PA
19107-4316
US

V. Phone/Fax

Practice location:
  • Phone: 215-925-3385
  • Fax: 215-557-7072
Mailing address:
  • Phone: 215-925-3385
  • Fax: 215-557-7072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberMDO24920-L
License Number StatePA

VIII. Authorized Official

Name: DR. HERBERT MORRIS ADLER
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 215-925-3385