Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD029568E | PA |
NPI | 1073518395 |
---|---|
Provider Name | Dr. Leroy P Adler |
First Address | Jenkintown, PA 19046-3706 |
Second Address | Jenkintown, PA 19046-3706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 12/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018602680002 | (05) | PA |
E29638 | (02) | PA |