Individual
MS. JOAN PATRICIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 BROCSTER CT, PHOENIX, MD 21131-1922
(443) 604-6664
Mailing address
9 BROCSTER CT, PHOENIX, MD 21131-1922
(443) 604-6664
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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