Individual
EDWARD ANSELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 EAST 17TH STREET, APARTMENT 27B, NEW YORK, NY 10003-3681
(646) 447-7468
(866) 387-5760
Mailing address
201 EAST 17TH STREET, APARTMENT 27B, NEW YORK, NY 10003-3681
(646) 447-7468
(866) 387-5760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1551711
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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