Individual
JOEL B EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1144 E JEFFERSON ST, PHOENIX, AZ 85034-2224
(480) 606-1011
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(346) 376-1702
(224) 532-2780
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
1705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110217771
RAILROAD MEDICARE
—
01
—
1705
STATE LICENSE
AZ
05
—
227513
—
AZ
Enumeration date
07/28/2005
Last updated
07/01/2021
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