Basic Information
Provider Information
NPI: 1942225263
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADLER
FirstName: LINDA
MiddleName: G
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 79035
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212790035
CountryCode: US
TelephoneNumber: 4103371000
FaxNumber:  
Practice Location
Address1: 7601 OSLER DR
Address2:  
City: TOWSON
State: MD
PostalCode: 212047700
CountryCode: US
TelephoneNumber: 4103371000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 10/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XD59711MDN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XD59711MDY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
40358100005MD MEDICAID


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