Individual
LARRY BRUCE EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-3111
Mailing address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 694-1029
(301) 631-3111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
MD
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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