# SHARON DE EDWARDS MD FACOG NCMP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356009104
- **Authorized official:** MR. FERNANDO ANTHONY EDWARDS II JD (ADMINISTRATOR)
- **Authorized official phone:** (925) 788-4850

## Contact information

- **Practice address:** 2240 GLADSTONE DR STE 1, PITTSBURG, CA 94565-5126
- **Practice address phone:** (925) 754-9961
- **Practice address fax:** (925) 754-1902
- **Mailing address:** 2240 GLADSTONE DR STE 1, PITTSBURG, CA 94565-5126
- **Mailing address phone:** (925) 754-9961
- **Mailing address fax:** (925) 754-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 11/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548295975 | NPI | — |
| 05 | — | CE655A | — | CA |