Provider Demographics
NPI:1740425644
Name:ADLER, EVAN PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:PAUL
Last Name:ADLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BINGHAM AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4762
Mailing Address - Country:US
Mailing Address - Phone:732-847-2500
Mailing Address - Fax:732-493-4590
Practice Address - Street 1:301 BINGHAM AVE
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4762
Practice Address - Country:US
Practice Address - Phone:732-847-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00308900213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery