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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
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