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Individual

DR. EDWARD DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-1020
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
158378
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01259329
NY
Enumeration date
11/16/2006
Last updated
08/09/2011
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