Individual
DR. ADAM EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2007
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101016855
MI
2085R0202X
Diagnostic Radiology Physician
Primary
OS015801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026952230002
—
PA
Enumeration date
04/23/2007
Last updated
11/10/2016
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