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Individual

THOMAS EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1096 OLD CHURCHMANS RD, NEWARK, DE 19713-2102
(302) 655-9494
(302) 623-4147
Mailing address
1096 OLD CHURCHMANS RD, NEWARK, DE 19713-2102
(302) 655-9494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000228
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16225
MID-ATLANTIC
DE
01
P00110729
RAILROAD MEDICARE
DE
01
P02567
COVENTRY
DE
Enumeration date
06/20/2005
Last updated
07/02/2021
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