Provider Demographics
NPI:1124400536
Name:NADLER, ASHLIE LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLIE
Middle Name:LAUREN
Last Name:NADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 COTTMAN AVENUE ROOM H3-133
Mailing Address - Street 2:FOX CHASE CANCER CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3509 N. BROAD ST. TEMPLE UNIVERSITY HOSPITAL
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-728-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2016-02-18
Deactivation Date:2016-01-29
Deactivation Code:
Reactivation Date:2016-02-17
Provider Licenses
StateLicense IDTaxonomies
PAMD4546282086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology