Individual
DR. EDSON DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13572 WATERFORD PL, MIDLOTHIAN, VA 23112-3928
(804) 560-8782
(804) 525-2525
Mailing address
13572 WATERFORD PL, MIDLOTHIAN, VA 23112-3928
(804) 560-8828
(804) 525-2520
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101057505
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101057505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005862833
—
VA
Enumeration date
10/21/2005
Last updated
03/07/2023
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