Individual
DR. EDWING GERARDO MEDINA CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08361900
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA08361900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195901
—
NJ
Enumeration date
07/28/2008
Last updated
05/28/2021
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