Organization
JOHN W. EDELGLASS M.D., P.C.
Active
Organization
JOHN W. EDELGLASS M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WARREN EDELGLASS M.D. (PRESIDENT)
(203) 389-1185
Entity
Organization
Contact information
Practice address
1 BRADLEY RD, SUITE 705, WOODBRIDGE, CT 06525-2285
(203) 389-1185
(203) 389-1427
Mailing address
1 BRADLEY RD, SUITE 705, WOODBRIDGE, CT 06525-2285
(203) 389-1185
(203) 389-1427
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
023280
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00153
MEDICARE GROUP
CT
Enumeration date
07/20/2007
Last updated
08/12/2007
Update your record
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