Provider Demographics
NPI:1689930711
Name:ADLER, WILLIAM MANFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MANFRED
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3751 SAINT FRANCIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549
Mailing Address - Country:US
Mailing Address - Phone:925-289-2836
Mailing Address - Fax:925-284-2836
Practice Address - Street 1:3751 ST. FRANCIS DR.
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549
Practice Address - Country:US
Practice Address - Phone:925-284-2836
Practice Address - Fax:925-284-2836
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CACFE26119207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A33047Medicare UPIN