Basic Information
Provider Information
NPI: 1477746527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADLER
FirstName: PETER
MiddleName: HOWARD
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 FORBES AT MEYRAN AVENUE
Address2: FORBES TOWER, SUITE 10028
City: PITTSBURGH
State: PA
PostalCode: 152133903
CountryCode: US
TelephoneNumber: 4124327000
FaxNumber: 4124327480
Practice Location
Address1: 3600 FORBES AT MEYRAN AVENUE
Address2: FORBES TOWER, SUITE 10028
City: PITTSBURGH
State: PA
PostalCode: 152133903
CountryCode: US
TelephoneNumber: 4124327000
FaxNumber: 4124327480
Other Information
ProviderEnumerationDate: 08/22/2007
LastUpdateDate: 06/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMT188062PAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD434871PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
10218504105PA MEDICAID
102185041000105PA MEDICAID
286170105OH MEDICAID
MD43487105PA MEDICAID
381001600005WV MEDICAID


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