P. Adler, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

4301063585 Issued in MI

Legal business name

P. ADLER, PC

Doing business as

advantage vein institute

Practice address

26711 Woodward Ave Suite LL1
Huntington Woods, MI 48070

Phone

(248) 268-4634

NPI assigned

Apr 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip Avery Adler, MD

Title

President

Phone

(248) 227-5500

Specialties & licenses 1

Addresses

Other names 1

• advantage vein institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1366852535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 771806",
            "address_2": "PO BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772000",
            "telephone_number": "248-268-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 WOODWARD AVE SUITE LL1",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-268-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. ADLER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-227-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301063585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advantage vein institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular & Interventional Radiology Physician in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.