Individual
EDWARD CALE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7519 HOSPITAL DR, GLOUCESTER, VA 23061-4178
(703) 295-9360
Mailing address
68 S SERVICE RD, STE 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101249184
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104088863
—
VA
Enumeration date
06/25/2008
Last updated
03/18/2015
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