Individual
JOSEPH S EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
153953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00846557
—
NY
01
—
0198999
GHI
NY
01
—
231280
WORKERS COMPENSATION
NY
01
—
26D801
EMPIRE BLUE CROSS BLUE SH
NY
01
—
26D803
EMPIRE BLUE CROSS
NY
01
—
27973P
HIP
NY
01
—
56516
AETNA-US HEALTHCARE
NY
01
—
P2631535
OXFORD
NY
Enumeration date
01/04/2007
Last updated
07/08/2007
Update your record
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