Individual
DR. DANIEL MARC EDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
769 NORTHFIELD AVE, SUITE 124, WEST ORANGE, NJ 07052-1198
(866) 895-7592
Mailing address
13 EAGLE TER, WEST ORANGE, NJ 07052-5006
(973) 731-7070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
015135
NY
103TC0700X
Clinical Psychologist
Primary
35S100422900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02373971
—
NY
Enumeration date
02/07/2006
Last updated
05/01/2009
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