Organization
LAWRENCE W. ADLER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE W. ADLER M.D. (PRESIDENT)
(410) 761-7042
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY., SUITE 512, GLEN BURNIE, MD 21061
(410) 761-7042
(410) 761-7984
Mailing address
7310 RITCHIE HWY., SUITE 512, GLEN BURNIE, MD 21061
(410) 761-7042
(410) 761-7984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D19454
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993LA
BLUE CROSS BLUE SHIELD
MD
05
—
404484300
—
MD
01
—
4323821
AETNA
—
01
—
W714
BLUECHOICE
DC
Enumeration date
10/02/2007
Last updated
05/06/2015
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