Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | C10004828 | DE |
NPI | 1144310889 |
---|---|
Provider Name | Dr. Maureen F. Edelson |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001601140 | (05) | PA |
02055925 | (05) | NY |
0510065 | (05) | IA |
7045409 | (05) | NJ |
9147109 | (05) | MD |
G37294 | (02) | |
Q04828 | (05) | SC |