John W. Edelglass M.D., P.C.

LBN: John W. Edelglass M.D., P.C.
John W. Edelglass M.D., P.C. is an health care organization with primary practice located at 1 Bradley Rd Suite 705, Woodbridge CT 06525-2285. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. John W. Edelglass M.D., P.C. can be contacted via phone (203) 389-1185, or through Edelglass, John Warren via phone (203) 389-1185.

Contact Information

Primary practice address
1 Bradley Rd Suite 705 Woodbridge CT 06525-2285
Phone: (203) 389-1185
Fax: (203) 389-1427
Website:
Map and Directions
Authorized official contact:
Name: Edelglass, John Warren Doctor of Medicine (MD)
Phone: (203) 389-1185

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 023280 Connecticut

Profile Details

NPI number 1710187505
LBN Legal business name John W. Edelglass M.D., P.C.
DBA Doing business as
Authorized official Edelglass, John Warren Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2007
Last updated Aug 12th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710187505 NPPES
Connecticut Other C00153 MEDICARE GROUP

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