Edward J. White in Enfield - Vascular Surgery

Edward J. White - NPI 1104824788

Edward J. White is a Vascular Surgery in Enfield, Connecticut. Edward J. White practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Edward J. White is 1104824788. The last update date is 2010-03-31.

Edward J. White's current location address is 146 Hazard Ave, Enfield, Connecticut. You can contact this provider via phone number 8607492318 and fax number 8607497196. The mailing address for Edward J. White is 146 Hazard Ave, Enfield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward J. White
Address 146 Hazard Ave, Enfield, Connecticut
Phone Number 8607492318
Fax Number 8607497196
Sole Proprietor N
Credentials MD, FACS

NPI Number Detail

NPI Number 1104824788
Provider Enumeration Date 2005-07-08
Last Updated Date 2010-03-31

Provider Mailing Address Detail

Address 146 Hazard Ave
City Enfield
State Connecticut (CT)
Post Code 608245710
Phone Number 8607492318
Fax Number 8607497196

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 39210
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
139210900 CT BLUE CARE FAMILY PLAN
611419998 CT FIRST HEALTH
611419998 CT NORTHEAST HEALTH DIRECT
611419998 CT PIONEER HEALTH CARE
1392109 CT --
P2718117 CT OXFORD PROVIDER NUMBER
2V2766 CT HEALTH NET
611419998 CT CIGNA PROVIDER NUMBER
611419998 CT COMMUNITY HEALTH NETWORK
010039210CT01 CT ANTHEM BCBS

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FAQs about Edward J. White

What is the Edward J. White's unique identification number?

The Edward J. White has been assigned the NPI (National Provider Identifier) Number 1104824788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Edward J. White's facilities are situated?

The facilities of Edward J. White are physically located at the following address: 146 Hazard Ave, Enfield, CT, 608245710.

What is Edward J. White's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Edward J. White is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.

On what date was the 1104824788 assigned to Edward J. White?

The Edward J. White was issued its 1104824788 on 2005-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Edward J. White, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edward J. White, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-31.

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