Mark R Edelstein in Broomall - Cardiovascular Disease
Mark R Edelstein - NPI 1750385696
Mark R Edelstein is a Cardiovascular Disease in Broomall, Pennsylvania. Mark R Edelstein practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mark R Edelstein is 1750385696. The last update date is 2008-01-23.
Mark R Edelstein's current location address is 1999 Sproul Rd, Broomall, Pennsylvania. You can contact this provider via phone number 6103536400 and fax number 6103561204. The mailing address for Mark R Edelstein is 1999 Sproul Rd, Broomall, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Edelstein |
|---|---|
| Address | 1999 Sproul Rd, Broomall, Pennsylvania |
| Phone Number | 6103536400 |
| Fax Number | 6103561204 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750385696 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 1999 Sproul Rd |
|---|---|
| City | Broomall |
| State | Pennsylvania (PA) |
| Post Code | 1900835080 |
| Phone Number | 6103536400 |
| Fax Number | 6103561204 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD058772L |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16417900003 | PA | -- | |
| 231718130 | PA | TRICARE | |
| 231718130 | PA | CIGNA | |
| 231718130 | PA | UNITED HEALTHCARE | |
| 313056000 | PA | KEYSTONE | |
| CF6196 | PA | RAILROAD MEDICARE | |
| 897869 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the Mark R Edelstein's unique identification number?
The Mark R Edelstein has been assigned the NPI (National Provider Identifier) Number 1750385696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mark R Edelstein's facilities are geographically located?
The facilities of Mark R Edelstein are physically situated at the following location: 1999 Sproul Rd, Broomall, PA, 1900835080.
What is the Mark R Edelstein's specialty and taxonomy code?
The Mark R Edelstein's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Mark R Edelstein receive its 1750385696 assignment from the Centers for Medicare & Medicaid Services?
The Mark R Edelstein was assigned its 1750385696 by the Centers for Medicare & Medicaid Services on 2005-06-09.
As of what date was the information regarding Mark R Edelstein, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark R Edelstein, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-23.