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Individual
DR. EDWINA VERNER
Active
Individual
DR. EDWINA VERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03802100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194996645
444 WILLIAM STREET
NJ
05
—
1479407
—
NJ
01
—
15484310901
982 BROAD STREET
NJ
01
—
1740345693
741 BROADWAY
NM
01
—
1932370483
101 LUDLOW STREET
NJ
Enumeration date
05/16/2006
Last updated
06/03/2008
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