Provider Demographics
NPI:1497757629
Name:DANIEL J. NADLER MD PC
Entity type:Organization
Organization Name:DANIEL J. NADLER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:NADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-741-5577
Mailing Address - Street 1:111 HAZEL LN
Mailing Address - Street 2:102
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1253
Mailing Address - Country:US
Mailing Address - Phone:412-741-5577
Mailing Address - Fax:412-741-1141
Practice Address - Street 1:111 HAZEL LN
Practice Address - Street 2:STE 102
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1253
Practice Address - Country:US
Practice Address - Phone:412-741-5577
Practice Address - Fax:412-741-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026919E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1496680Medicaid
PA0925780001Medicare NSC
826775Medicare PIN