Jeffrey Charles Edman M.D.

NPI 1699910083 - General Practice - 208D00000X

NPI Details
NPI 1699910083
Gender Male
Enumeration Date 12/12/2008
Last Updated 08/13/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
630 DRAKE AVENUE
MARIN CITY CA, 94965-1107, US
Phone (415) 339-8813
Fax (415) 339-8814
Business Location
630 DRAKE AVENUE
MARIN CITY CA, 94965-1107, US
Phone (415) 339-8813
Fax (415) 339-8814
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number G60966
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According to our database, Dr. Jeffrey Charles Edman M.D. NPI is 1699910083, taxonomy code is 208D00000X and license number is G60966, license state is located at California. Jeffrey Charles Edman M.D. physically located at 630 Drake Avenue, Marin City CA, 94965-1107. NPI Number Jeffrey Charles Edman M.D. has the Individual type.

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1699910083 NPI number is provided on an as is basis without warranty of any kind. 1699910083 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Charles Edman M.D. are for informational purposes only.