Individual
DR. EDWARD M NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8702 UNIVERSITY BLVD, MOON TOWNSHIP, PA 15108-4209
(412) 299-3627
(412) 299-3623
Mailing address
8702 UNIVERSITY BLVD, MOON TOWNSHIP, PA 15108-4209
(412) 299-3627
(412) 299-3623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22191
SC
207Q00000X
Family Medicine Physician
Primary
22191
SC
2083X0100X
Occupational Medicine Physician
22191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221913
—
SC
01
—
E1569
MEDCOST
—
Enumeration date
03/22/2006
Last updated
10/25/2019
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