Individual
EDWARD H CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-4313
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
(717) 632-4313
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036642E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010730480006
—
PA
Enumeration date
09/27/2006
Last updated
08/26/2011
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