Individual
MR. EDWARD LEE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
206 E BROWN ST, E STROUDSBURG, PA 18301-3006
(570) 421-4000
Mailing address
244 BARRY'S ROAD, WHITE HAVEN, PA 18661
(570) 443-7959
(570) 443-7958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016635
NY
363AM0700X
Medical Physician Assistant
Primary
MA053183
PA
Other
Enumeration date
10/04/2007
Last updated
01/08/2025
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