Individual
DR. EDWIN GREGORY THEOSMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
205 MAY ST STE 202, EDISON, NJ 08837-3267
(908) 757-1520
Mailing address
205 MAY ST STE 202, EDISON, NJ 08837-3267
(908) 757-1520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MB11413200
NJ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MB11413200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
07/28/2022
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