Organization
PULMONARY MEDICINE & INFECTIOUS DISEASE MEDICAL GROUP
Active
Organization
PULMONARY MEDICINE & INFECTIOUS DISEASE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD C FEDERMAN M.D. (PARTNER)
(619) 462-9010
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, SUITE 2308, SAN DIEGO, CA 92120-5244
(619) 462-9010
(619) 287-8165
Mailing address
6699 ALVARADO RD, SUITE 2308, SAN DIEGO, CA 92120-5244
(619) 462-9010
(619) 287-8165
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
CA
207RP1001X
Pulmonary Disease Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A792460
—
CA
05
—
00G782140
—
CA
Enumeration date
02/28/2007
Last updated
07/24/2015
Update your record
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