Individual
DR. BRIAN LEWIS EDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST # 650, BOSTON, MA 02114-2621
(857) 238-5600
Mailing address
175 CAMBRIDGE ST STE 300, BOSTON, MA 02114-2796
(617) 643-4639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232383
MA
2084N0400X
Neurology Physician
Primary
239351
MA
Other
Enumeration date
07/16/2007
Last updated
04/15/2014
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