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Individual

DR. JONATHAN NORMAN ADLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, FND 150 EMERGENCY ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-7622
(617) 724-4021
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77491
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3109569
MA
01
730473
TUFTS HEALTH PLAN
MA
01
R01183
BCBS MA
MA
Enumeration date
12/13/2005
Last updated
07/08/2007
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