Poon, Edward
Poon, Edward is an individual health care provider with primary practice located at 3860 Masthead St Ne , Albuquerque NM 87109-4479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Poon, Edward can be contacted via phone (505) 828-1010.Contact Information
Primary practice address
3860 Masthead St Ne
Albuquerque NM 87109-4479
Phone: (505) 828-1010
Fax: (505) 796-9051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD2016-0037 | New Mexico |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD2016-0037 | New Mexico |
Profile Details
| NPI number | 1770587115 |
|---|---|
| LBN Legal business name | Poon, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1770587115 | NPPES |
| New Mexico | MEDICAID | 57601062 |
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