Provider Demographics
NPI:1386782217
Name:ADLER, ALAN GARY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GARY
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 POLO CIR
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3840
Mailing Address - Country:US
Mailing Address - Phone:610-520-6128
Mailing Address - Fax:610-520-6129
Practice Address - Street 1:706 POLO CIR
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3840
Practice Address - Country:US
Practice Address - Phone:610-520-6128
Practice Address - Fax:610-520-6129
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017858E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine