Organization
EDWARD M. SOLOMON M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M. SOLOMON M.D. (PRESIDENT)
(201) 444-3010
Entity
Organization
Contact information
Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 444-3010
(201) 444-8071
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 444-3010
(201) 444-8071
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02643800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174525406
PALMETTO GBA/RAILROAD MEDICARE
NJ
Enumeration date
04/14/2008
Last updated
04/21/2011
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