Individual
BARRY J EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 INDUSTRIAL WAY E, SUITE 102, EATONTOWN, NJ 07724-3332
(732) 542-0300
(732) 935-0533
Mailing address
10 INDUSTRIAL WAY E, SUITE 102, EATONTOWN, NJ 07724-3332
(732) 542-0300
(732) 935-0533
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MB72146
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180046261
RAILROAD MEDICARE
NJ
Enumeration date
07/09/2006
Last updated
05/28/2015
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