MEDICARE: DR. HERBERT M ADLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MDO24920L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MDO24920L	OTHER	PA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1356347389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERBERT M ADLER MD

Provider Business Mailing Address
First Line	:	1015 CHESTNUT STREET
Second Line	:	SUITE 1000
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107
Country	:	US
Telephone Number	:	215-925-3385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 CHESTNUT ST
Second Line	:	STE 1000
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4310
Country	:	US
Telephone Number	:	215-925-3385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	02/18/2008

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