Individual
DR. DAVID A EDMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7597
Mailing address
101 DUDLEY ST, PHO OFFICE, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
243477
MA
208600000X
Surgery Physician
Primary
MD11542
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE79127
—
RI
Enumeration date
12/06/2006
Last updated
05/11/2026
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