Individual
DR. EDGAR DAVDISON CHARLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 YORK AVE, BOX 64, NEW YORK, NY 10021-6307
(212) 327-7068
Mailing address
1230 YORK AVE, BOX 64, NEW YORK, NY 10021-6307
(212) 327-7068
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
220074
NY
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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