Organization
EDISON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZU AJUDUA MD (OWNER)
(718) 499-6590
Entity
Organization
Contact information
Practice address
406 15TH ST, M2, BROOKLYN, NY 11215-6054
(718) 499-6590
(718) 499-6594
Mailing address
PO BOX 2215, NEW YORK, NY 10101-2215
(718) 499-6590
(718) 499-6594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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