NPI 1639160013 · live from the CMS NPI Registry
Richard L Edelson, MD
Dermatology in New Haven, CT. National Provider Identifier 1639160013, active.
NPI record
| NPI | 1639160013 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 15 York St, New Haven, CT 06510 |
| Practice phone | 203-785-4632 |
| Mailing address | Po Box 9805, 300 George St 6th Floor, New Haven, CT 06536 |
| Enumerated | November 3, 2005 |
| Last updated | June 27, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 026935 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.