Individual
T EDWARD BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 FREMONT ST, MARLBORO, MA 01752
(508) 624-0605
(508) 229-8694
Mailing address
65 FREMONT ST, MARLBORO, MA 01752
(508) 624-0605
(508) 229-8694
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
44316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070235
—
MA
Enumeration date
10/18/2006
Last updated
07/08/2007
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