Individual
EDWARD J MCNEIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10330
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57-1060903
TAX ID
—
05
—
GP1566
—
SC
Enumeration date
06/13/2005
Last updated
07/28/2023
Update your record
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