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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770587115 NPPES
New Mexico MEDICAID 57601062

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