Individual
DR. DAVID I EDELMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1205 TILTON RD, NORTHFIELD, NJ 08225-1236
(609) 484-1879
Mailing address
PO BOX 116, NORTHFIELD, NJ 08225-0116
(609) 484-1879
(609) 484-8460
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI12002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255009
—
NJ
Enumeration date
10/24/2005
Last updated
07/08/2007
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