Provider Demographics
NPI:1518279199
Name:ADLER, JOEL T (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:T
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 UNIVERSITY HOUSES APT D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-1816
Mailing Address - Country:US
Mailing Address - Phone:608-335-5258
Mailing Address - Fax:
Practice Address - Street 1:33 UNIVERSITY HOUSES
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-1816
Practice Address - Country:US
Practice Address - Phone:608-335-5258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI67451-20204F00000X
MA254124208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery