Individual
JEFFREY DAVID EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00045592
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00045592
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00045592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231055
L&I
WA
05
—
1205911005
—
WA
01
—
2009865
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
03/22/2013
Update your record
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