Provider Demographics
NPI:1255793972
Name:NADLER, ADAM DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:DOUGLAS
Last Name:NADLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0535
Practice Address - Fax:410-550-0491
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2023-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD87424207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD87424OtherLICENSE