Organization
EDWARD C FEDERMAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHARLES FEDERMAN M.D. (PRESIDENT)
(619) 286-8803
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2309, SAN DIEGO, CA 92120-5241
(619) 286-8803
(619) 286-2344
Mailing address
PO BOX 1009, SPRING VALLEY, CA 91979-1009
(619) 508-0908
(619) 693-3242
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G602830
—
CA
Enumeration date
09/22/2006
Last updated
04/17/2023
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