# PULMONARY MEDICINE & INFECTIOUS DISEASE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1619004421
- **Authorized official:** DR. EDWARD C FEDERMAN M.D. (PARTNER)
- **Authorized official phone:** (619) 462-9010

## Contact information

- **Practice address:** 6699 ALVARADO RD, SUITE 2308, SAN DIEGO, CA 92120-5244
- **Practice address phone:** (619) 462-9010
- **Practice address fax:** (619) 287-8165
- **Mailing address:** 6699 ALVARADO RD, SUITE 2308, SAN DIEGO, CA 92120-5244
- **Mailing address phone:** (619) 462-9010
- **Mailing address fax:** (619) 287-8165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | CA | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | CA | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/24/2015