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Individual

DR. EDWARD L HILDREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101
(717) 988-0000
(717) 782-5716
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS003464L
PA
207Q00000X
Family Medicine Physician
OS003464L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000024197
HIGHMARK BS
PA
05
001613525
PA
01
13040
GEISINGER
PA
01
141300
UNISON
PA
01
1514916
GATEWAY
PA
01
30024130
KEYSTONE MERCY
PA
01
50032030
CAPITAL BC
PA
Enumeration date
08/17/2006
Last updated
05/21/2024
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