Re, Edward

Re, Edward is an individual health care provider with primary practice located at 3401 Civic Center Blvd Division Of Sports Medicine, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Re, Edward can be contacted via phone (718) 598-0278.

Contact Information

Primary practice address
3401 Civic Center Blvd Division Of Sports Medicine Philadelphia PA 19104-4319
Phone: (718) 598-0278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT210381 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X MT210381 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X MD468533 Pennsylvania

Profile Details

NPI number 1144675828
LBN Legal business name Re, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Jun 29th, 2021 - about 3 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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