Individual
JEFFREY DANIEL EDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 RAVDIN BLDG., SUITE F, PHILADELPHIA, PA 19104-4206
(215) 662-3202
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD070085L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018674650001
—
PA
Enumeration date
03/25/2009
Last updated
03/25/2009
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