Edwards, Michael Jeffrey
Edwards, Michael Jeffrey is an individual health care provider with primary practice located at 350 Boulevard , Passaic NJ 07055-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edwards, Michael Jeffrey can be contacted via phone (973) 365-4300.Contact Information
Primary practice address
350 Boulevard
Passaic NJ 07055-2840
Phone: (973) 365-4300
Fax: (973) 365-9980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA04966100 | New Jersey |
Profile Details
| NPI number | 1689644213 |
|---|---|
| LBN Legal business name | Edwards, Michael Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689644213 | NPPES |
| New Jersey | MEDICAID | 1000900 |
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