Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 217844 | MA |
N | 208600000X | Surgeon | 217844 | MA |
Y | 208200000X | Surgeon | C1-0013342 | DE |
Y | 208600000X | Surgeon | C1-0013342 | DE |
N | 2082S0105X | Plastic Hand Surgeon | 217844 | MA |
NPI | 1750452884 |
---|---|
Provider Name | Dr. Edward Joseph Caterson |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2006 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110086490A | (05) | MA |