Edelstein, Mark R
Edelstein, Mark R is an individual health care provider with primary practice located at 1999 Sproul Rd Ste 21, Broomall PA 19008-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Edelstein, Mark R can be contacted via phone (610) 353-6400.Contact Information
Primary practice address
1999 Sproul Rd Ste 21
Broomall PA 19008-3508
Phone: (610) 353-6400
Fax: (610) 356-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD058772L | Pennsylvania |
Profile Details
| NPI number | 1750385696 |
|---|---|
| LBN Legal business name | Edelstein, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jan 23rd, 2008 - about 17 years ago |
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 | 1750385696 | NPPES |
| Pennsylvania | MEDICAID | 0016417900003 | |
| Pennsylvania | Other | 231718130 | |
| Pennsylvania | Other | 231718130 | |
| Pennsylvania | Other | 231718130 | |
| Pennsylvania | Other | 0313056000 | |
| Pennsylvania | Other | CF6196 | |
| Pennsylvania | Other | 897869 |
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