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Individual

JONATHAN SAMUEL EDELMAN

Active
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Individual

JONATHAN SAMUEL EDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
75383
AZ
207L00000X
Anesthesiology Physician
C153720
CA
207L00000X
Anesthesiology Physician
MD-13116
HI
207L00000X
Anesthesiology Physician
Primary
MD.206972
LA
207L00000X
Anesthesiology Physician
ME102194
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000250837
HMSA
05
04475529
MS
05
2371177
LA
01
53565
BCBS
FL
01
559289-01
ACS
01
673914
UHA
01
A001
CHAMPUS TRICARE
Enumeration date
07/07/2006
Last updated
12/16/2024
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