Individual
DR. BENNETT B EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, NBW73, BALTIMORE, MD 21201-1544
(410) 328-5514
(410) 328-0929
Mailing address
PO BOX 64592, BALTIMORE, MD 21264-4592
(410) 328-5514
(410) 328-0929
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
D0018310
MD
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
D0018310
MD
Other
Enumeration date
07/02/2006
Last updated
01/25/2011
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