Individual
PAUL H EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 4 GATES, PHILADELPHIA, PA 19104
(215) 662-6651
Mailing address
3400 SPRUCE ST, 4 GATES, PHILADELPHIA, PA 19104-4206
(215) 662-6651
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD035963E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010927220002
—
PA
Enumeration date
06/13/2006
Last updated
09/10/2015
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