Individual
MARTIN G EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
499 FARMINGTON AVE, SUITE 100, FARMINGTON, CT 06032-1943
(860) 678-0202
(860) 678-0224
Mailing address
499 FARMINGTON AVE, SUITE 100, FARMINGTON, CT 06032-1943
(860) 678-0202
(860) 678-0224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036579
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365792
—
CT
01
—
180037506
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
08/03/2020
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