Edwards, Michael G

Edwards, Michael G is an individual health care provider with primary practice located at 170 Governors Ave , Medford MA 02155-1643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Edwards, Michael G can be contacted via phone (781) 396-1002.

Contact Information

Primary practice address
170 Governors Ave Medford MA 02155-1643
Fax: (781) 393-8718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30665 Massachusetts

Profile Details

NPI number 1174594782
LBN Legal business name Edwards, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174594782 NPPES
Massachusetts Other 993797 NETWORK HEALTH
Massachusetts Other 726790 NETWORK HEALTH
Massachusetts Other AA16108 NETWORK HEALTH
Massachusetts MEDICAID 0120952 NETWORK HEALTH
Massachusetts Other B47115 NETWORK HEALTH

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