Individual
DAVID EDELHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 BOSTON TPKE, COVENTRY, CT 06238-1105
(860) 742-9050
(860) 742-9097
Mailing address
PO BOX 3249, VERNON, CT 06066-2149
(860) 872-2289
(860) 896-1425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183750
MEDICARE RAIL ROAD
CT
Enumeration date
03/03/2006
Last updated
09/11/2025
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