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Individual

DR. DALE E EDLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
179 AVENUE AT THE CMN, SUITE 101, SHREWSBURY, NJ 07702-4804
(732) 542-7600
(732) 542-7655
Mailing address
179 AVENUE AT THE CMN, SUITE 101, SHREWSBURY, NJ 07702-4804
(732) 542-7600
(732) 542-7655

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04064700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3247902
NJ
Enumeration date
01/26/2006
Last updated
12/09/2008
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