Individual
DR. EDSEL ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 LYONS AVE, OB/GYN DEPT, NEWARK, NJ 07112-2027
(973) 926-4882
Mailing address
285 DURHAM AVE, STE 1A, SOUTH PLAINFIELD, NJ 07080-2555
(973) 762-7270
(973) 762-1980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB09742100
NJ
Other
Enumeration date
05/02/2012
Last updated
01/26/2018
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