Organization
DR. EDWARDS AT WAYNE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAGDY MAHMOUD (CEO)
(973) 650-2009
Entity
Organization
Contact information
Practice address
705 HAMBURG TPKE, WAYNE, NJ 07470-2098
(973) 922-1000
Mailing address
705 HAMBURG TPKE, WAYNE, NJ 07470-2098
(973) 922-1000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8234400
—
NJ
Enumeration date
10/27/2015
Last updated
10/27/2015
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