Provider Demographics
NPI:1396018032
Name:MILES FRANKLIN ADLER, M.D., A PROFESSIONAL CORPO
Entity Type:Organization
Organization Name:MILES FRANKLIN ADLER, M.D., A PROFESSIONAL CORPO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER/PRESIDENT OF CORPOR
Authorized Official - Prefix:
Authorized Official - First Name:MILES
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-357-8160
Mailing Address - Street 1:13847 E. FOURTEENTH STREET
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2625
Mailing Address - Country:US
Mailing Address - Phone:510-357-8180
Mailing Address - Fax:510-357-0276
Practice Address - Street 1:13847 E. FOURTEENTH STREET
Practice Address - Street 2:SUITE 115
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2625
Practice Address - Country:US
Practice Address - Phone:510-357-8180
Practice Address - Fax:510-357-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG16859207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty