Organization
EDELBROOK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(469) 401-2386
Mailing address
PO BOX 80164, PHILADELPHIA, PA 19101-1164
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
11/01/2021
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