Individual
MR. THOMAS MICHAEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 535-0051
Mailing address
2636 CLINTON STREET RD, ATTICA, NY 14011-9728
(595) 591-0852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002004-1
NY
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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