Organization
STEWART G EIDELSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART G EIDELSON MD (OWNER)
(561) 742-5959
Entity
Organization
Contact information
Practice address
911 PARK AVE, NEW YORK, NY 10075-0385
(212) 288-7193
Mailing address
15300 S JOG RD STE 107-109, DELRAY BEACH, FL 33446-2162
(561) 742-5959
(561) 734-2226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
138890
NY
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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