Individual
JONATHAN SAMUEL EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
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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