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Individual

DOMINICK EDELEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-1356
(202) 978-5970
Mailing address
350 EASTERN AVE NE, WASHINGTON, DC 20019-2833
(202) 248-1356
(202) 978-5970

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DC

Other

Enumeration date
05/28/2024
Last updated
05/28/2024
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