Individual
EDWARD MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-2709
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-2709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD420857
PA
208M00000X
Hospitalist Physician
MD420857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001955002
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/14/2006
Last updated
04/25/2016
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