Individual
DR. EDWARD THOMAS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 N OLD TRL, SELINSGROVE, PA 17870-8381
(570) 374-8555
(570) 374-9933
Mailing address
1575 N OLD TRL, SELINSGROVE, PA 17870-8381
(570) 374-8555
(570) 374-9933
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
235282-1
NY
207RX0202X
Medical Oncology Physician
Primary
MD024174E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010399860010
—
PA
05
—
00949440
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039841
PA MEDICARE GROUP
PA
01
—
P00127810
RR MEDICARE PIN
PA
Enumeration date
02/03/2006
Last updated
12/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us