Provider Demographics
NPI:1063617975
Name:ADLER, MATTHEW ISRAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ISRAEL
Last Name:ADLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7556 TEAGUE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1213
Mailing Address - Country:US
Mailing Address - Phone:410-551-0499
Mailing Address - Fax:410-799-9070
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1213
Practice Address - Country:US
Practice Address - Phone:410-551-0499
Practice Address - Fax:410-799-9070
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2014-09-30
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Provider Licenses
StateLicense IDTaxonomies
MDD71101207Q00000X
PAMD439290207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine