De Guzman, Edson
De Guzman, Edson is an individual health care provider with primary practice located at 13572 Waterford Pl , Midlothian VA 23112-3928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. De Guzman, Edson can be contacted via phone (804) 560-8782.Contact Information
Primary practice address
13572 Waterford Pl
Midlothian VA 23112-3928
Phone: (804) 560-8782
Fax: (804) 525-2525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101057505 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101057505 | Virginia |
Profile Details
| NPI number | 1174512198 |
|---|---|
| LBN Legal business name | De Guzman, Edson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174512198 | NPPES |
| Virginia | MEDICAID | 005862833 |
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