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Individual
DR. EDWARD C ALDERETE
Active
Individual
DR. EDWARD C ALDERETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
66241
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD2020-0382
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G3055140
—
CA
01
—
BT488
PALMETTO GBA: PART B PTAN
CA
01
—
G30551
MEDICAL LICENSE
CA
Enumeration date
04/05/2006
Last updated
07/24/2025
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