Individual
DR. EDWARD LEWIS SPELLMAN
Active
Individual
DR. EDWARD LEWIS SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318600
—
CT
01
—
00131860000
BLUE CROSS FAMILY PLAN
—
01
—
010031860CT01
BLUE CROSS ANTHEM
—
01
—
031860
CONNECTI CARE
—
01
—
061325634
COMM INS
—
01
—
06132S634
AETNA
—
01
—
0613Z5634
FIRST HEALTH
—
01
—
0983647004
CIGNA
—
01
—
130009173
RR MEDICARE
—
01
—
140400
WORK COMP
—
01
—
250952200
DEPT OF LABOR
—
01
—
NHS133
OXFORD
—
01
—
OR0088
HEALTHNET
—
Enumeration date
06/12/2006
Last updated
05/15/2018
Update your record
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