Individual
EDMUND KING BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE # H-1215, NEW YORK, NY 10065-6007
(212) 639-2448
Mailing address
1275 YORK AVE # H-1215, NEW YORK, NY 10065-6007
(212) 639-2448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT195500
PA
2086X0206X
Surgical Oncology Physician
Primary
282689
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT195500
PA
Other
Enumeration date
05/28/2009
Last updated
05/01/2020
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