Individual
DR. RICHARD CHARLES EDWARDS
Active
Individual
DR. RICHARD CHARLES EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102064AT
PREFERRED CARE
NY
01
—
5444766
AETNA ID
NY
01
—
70011
EXCELLUS
NY
01
—
P010048032
BLUE CHOICE
NY
Enumeration date
07/05/2006
Last updated
11/21/2011
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