Provider Demographics
NPI:1578644399
Name:THE ADLER CENTER FOR WOMEN'S HEALTH
Entity Type:Organization
Organization Name:THE ADLER CENTER FOR WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALF
Authorized Official - Middle Name:K
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-680-5327
Mailing Address - Street 1:2296 OPITZ BLVD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3300
Mailing Address - Country:US
Mailing Address - Phone:703-680-5327
Mailing Address - Fax:703-680-3650
Practice Address - Street 1:2296 OPITZ BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3300
Practice Address - Country:US
Practice Address - Phone:703-680-5327
Practice Address - Fax:703-680-3650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101036648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6211259Medicaid
VAB09022Medicare UPIN