Scott Matthew Edmondson in Woodbury - Medical
Scott Matthew Edmondson - NPI 1104007285
Scott Matthew Edmondson is a Medical in Woodbury, New Jersey. Scott Matthew Edmondson practices all healthcare services and medical treatments related to Medical. The NPI Number for Scott Matthew Edmondson is 1104007285. The last update date is 2015-03-11.
Scott Matthew Edmondson's current location address is 630 Mantua Pike, Woodbury, New Jersey. You can contact this provider via phone number 8568122220 and fax number 8568122221. The mailing address for Scott Matthew Edmondson is 630 Mantua Pike, Woodbury, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Matthew Edmondson |
|---|---|
| Address | 630 Mantua Pike, Woodbury, New Jersey |
| Phone Number | 8568122220 |
| Fax Number | 8568122221 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104007285 |
|---|---|
| Provider Enumeration Date | 2007-11-17 |
| Last Updated Date | 2015-03-11 |
Provider Mailing Address Detail
| Address | 630 Mantua Pike |
|---|---|
| City | Woodbury |
| State | New Jersey (NJ) |
| Post Code | 80963233 |
| Phone Number | 8568122220 |
| Fax Number | 8568122221 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 25MP00352600 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Scott Matthew Edmondson?
The Scott Matthew Edmondson has been issued the NPI (National Provider Identifier) 1104007285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Scott Matthew Edmondson?
The Scott Matthew Edmondson is physically situated at 630 Mantua Pike, in the city of Woodbury, state of NJ, with the postal code 80963233.
What is Scott Matthew Edmondson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Scott Matthew Edmondson is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104007285 to Scott Matthew Edmondson?
The Centers for Medicare & Medicaid Services originally issued the 1104007285 to Scott Matthew Edmondson on 2007-11-17.
When was the Scott Matthew Edmondson's information last updated?
The Scott Matthew Edmondson's information was last updated on 2015-03-11.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL