Individual
DR. WALTER E EDGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5127
(518) 262-4933
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5127
(518) 262-4933
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
146395-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00900041
—
NY
Enumeration date
08/16/2005
Last updated
07/08/2007
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