Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD454628 | PA |
NPI | 1124400536 |
---|---|
Provider Name | Dr. Ashlie Lauren Nadler |
First Address | Philadelphia, PA 19111 |
Second Address | Philadelphia, PA 19140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 18/02/2016 |