Organization
SHARON DE EDWARDS MD FACOG NCMP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO ANTHONY EDWARDS II JD (ADMINISTRATOR)
(925) 788-4850
Entity
Organization
Contact information
Practice address
2240 GLADSTONE DR STE 1, PITTSBURG, CA 94565-5126
(925) 754-9961
(925) 754-1902
Mailing address
2240 GLADSTONE DR STE 1, PITTSBURG, CA 94565-5126
(925) 754-9961
(925) 754-1902
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548295975
NPI
—
05
—
CE655A
—
CA
Enumeration date
11/29/2021
Last updated
11/29/2021
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