Individual
DR. MARTIN J EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2500
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D55065
MD
207RX0202X
Medical Oncology Physician
MD2013-0448
NM
207RX0202X
Medical Oncology Physician
Primary
MD459918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086260400
—
DC
05
—
1000034721
—
DE
01
—
841358-01
BLUE CROSS/BLUE SHIELD
MD
05
—
964901800
—
MD
Enumeration date
04/03/2006
Last updated
04/09/2018
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