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Individual

MS. JOAN PATRICIA EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D31775
MD
207RH0003X
Hematology & Oncology Physician
D31775
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0498167
AETNA
01
2830503006
CIGNA HEALTHCARE
05
370591900
MD
01
41309901
BLUE C BLUE S
01
830008489
MEDICARE RAILROAD
01
W1440001
BLUE SHEILD FEDERAL
Enumeration date
10/16/2006
Last updated
08/23/2009
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