Edge Medical Care Pc in Riverdale - Primary Care
Edge Medical Care Pc - NPI 1447255609
Edge Medical Care Pc is a Primary Care in Riverdale, Maryland. Edge Medical Care Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Edge Medical Care Pc is 1447255609. The last update date is 2008-07-10.
Edge Medical Care Pc's current location address is 5305 Kenilworth Ave, Riverdale, Maryland. You can contact this provider via phone number 3012777110. The mailing address for Edge Medical Care Pc is 5305 Kenilworth Ave, Riverdale, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edge Medical Care Pc |
|---|---|
| Address | 5305 Kenilworth Ave, Riverdale, Maryland |
| Phone Number | 3012777110 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ego-Osuala C George |
| Credentials | MD., FACP. |
| Telephone Number | 3014349147 |
NPI Number Detail
| NPI Number | 1447255609 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 5305 Kenilworth Ave |
|---|---|
| City | Riverdale |
| State | Maryland (MD) |
| Post Code | 2073731100 |
| Phone Number | 3012777110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MD 21355 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G02849 | MD | MEDICARE GROUP PTAN | |
| 852000300 | MD | -- |
Post Comment/ Review Below
What is the Edge Medical Care Pc's 1447255609?
The Edge Medical Care Pc's NPI (National Provider Identifier) Number is 1447255609. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edge Medical Care Pc?
The Edge Medical Care Pc is situated at 5305 Kenilworth Ave, in the city of Riverdale, state of MD, with the zip code 2073731100.
What is the Edge Medical Care Pc's specialty and taxonomy code?
The Edge Medical Care Pc's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
When was the Edge Medical Care Pc's 1447255609 issued?
The Edge Medical Care Pc's 1447255609 was issued on 2005-06-15.
When was the information related to Edge Medical Care Pc most recently updated or refreshed?
The details pertaining to the Edge Medical Care Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-10.