Provider Demographics
NPI:1346322161
Name:ADLER, PATRICK M (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:M
Last Name:ADLER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:301 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7706
Mailing Address - Country:US
Mailing Address - Phone:267-503-0130
Mailing Address - Fax:267-503-0127
Practice Address - Street 1:301 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:267-503-0130
Practice Address - Fax:267-503-0127
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2010-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-012611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018420660001Medicaid
PA1018420660001Medicaid
PAI19245Medicare UPIN