Verner, Edwina

Verner, Edwina is an individual health care provider with primary practice located at 86 S Harrison St , East Orange NJ 07018-1704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Verner, Edwina can be contacted via phone (973) 414-1886.

Contact Information

Primary practice address
86 S Harrison St East Orange NJ 07018-1704
Fax: (973) 674-6134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA03802100 New Jersey

Profile Details

NPI number 1457303919
LBN Legal business name Verner, Edwina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 3rd, 2008 - about 16 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 1457303919 NPPES
New Jersey Other 1194996645 444 WILLIAM STREET
New Jersey Other 1740345693 444 WILLIAM STREET
New Jersey Other 1932370483 444 WILLIAM STREET
New Jersey MEDICAID 1479407 444 WILLIAM STREET
New Jersey Other 15484310901 444 WILLIAM STREET

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