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NPI Code Detail

MEDICARE: FREDERICK WILLIAM ADLER M.D.

MEDICARE: FREDERICK WILLIAM 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
1207Q00000XFamily Medicine PhysicianG50673CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629030515
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK WILLIAM ADLER M.D.
Provider Business Mailing Address
First Line : PO BOX 276950
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-6950
Country : US
Telephone Number : 650-696-4427
Fax Number :
Provider Business Practice Location Address
First Line : 100 S SAN MATEO DR
Second Line :
City : SAN MATEO
State : CA
Zip : 94401-3805
Country : US
Telephone Number : 650-696-4427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 06/06/2025

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Directions to “ FREDERICK WILLIAM ADLER M.D.” Practice Location

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