Re, Edward
Re, Edward is an individual health care provider with primary practice located at 3401 Civic Center Blvd Division Of Sports Medicine, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Re, Edward can be contacted via phone (718) 598-0278.Contact Information
Primary practice address
3401 Civic Center Blvd Division Of Sports Medicine
Philadelphia PA 19104-4319
Phone: (718) 598-0278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT210381 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | MT210381 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | MD468533 | Pennsylvania |
Profile Details
| NPI number | 1144675828 |
|---|---|
| LBN Legal business name | Re, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2016 |
| Last updated | Jun 29th, 2021 - 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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