Provider Demographics
NPI:1437354370
Name:ZALDIVAR-ADLER, CARMEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:ZALDIVAR-ADLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 GROSVENOR PL
Mailing Address - Street 2:APT. #1911
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4685
Mailing Address - Country:US
Mailing Address - Phone:443-996-7904
Mailing Address - Fax:
Practice Address - Street 1:372 MILL ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6138
Practice Address - Country:US
Practice Address - Phone:301-790-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01453213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0148920 00Medicaid
MD1437354370OtherRAILROAD MEDICARE GROUP MEMBER NPI
MDP00627632OtherRAILROAD MEDICARE
MD1437354370OtherRAILROAD MEDICARE GROUP MEMBER NPI