Individual
DR. BRUCE ALLEN EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 CRANBURY RD STE 3, EAST BRUNSWICK, NJ 08816-5419
(732) 238-0300
(732) 238-4066
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
25MA05620000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4572408
—
NJ
Enumeration date
09/20/2006
Last updated
07/27/2020
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