Individual
DR. KEITH EDDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 2ND FLOOR, NEW YORK, NY 10029-6501
(212) 241-6551
(212) 348-7438
Mailing address
5 E 98TH ST, 2ND FLOOR BOX 1171, NEW YORK, NY 10029-6501
(212) 241-6551
(212) 348-7438
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
177704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01135437
—
NY
01
—
0696160
AETNA/HMO
NY
01
—
4269005
AETNA/PPO/POS/EPO/INDEMNI
NY
01
—
4529310
CIGNAHMO/PPO/POS
NY
01
—
704279
FIRSTHEALTH /PPO
NY
01
—
919722
UHC/HMO/POS/PPO/EPM/INDEM
NY
01
—
MT0001160
SELECTRO PRO/PPO/EPO
NY
01
—
NP330
FREEDOM/OXFORD MEDICARE
NY
Enumeration date
05/05/2006
Last updated
12/07/2009
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