Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 270911 | MA |
N | 207VG0400X | Gynecologist | 25MA10918600 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD456450 | PA |
NPI | 1194087270 |
---|---|
Provider Name | Paula Edelson |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 12/07/2021 |