MEDICARE: DR. JESSICA ADLER M.D.

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	MD433336	PA

General Provider Information

NPI Number	:	1366508400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA ADLER M.D.

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:	CROZER CHESTER MEDICAL CENTER
City	:	UPLAND
State	:	PA
Zip	:	19013-3995
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:	CROZER CHESTER MEDICAL CENTER
City	:	UPLAND
State	:	PA
Zip	:	19013-3995
Country	:	US
Telephone Number	:	610-874-5257
Fax Number	:

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

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	09/11/2024

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