Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35.059498 | OH |
NPI | 1013979921 |
---|---|
Provider Name | Dr. Moshe Adler |
First Address | Fairlawn, OH 44333-2494 |
Second Address | Fairlawn, OH 44333-2494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0784281 | (05) | OH |
C27706 | (02) | OH |