Individual
EMMA EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 100 CENTREX, PHILADELPHIA, PA 19104-4238
(215) 662-2532
Mailing address
3400 SPRUCE ST, 100 CENTREX, PHILADELPHIA, PA 19104-4238
(215) 662-2532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD467295
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/23/2015
Last updated
08/26/2019
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