Doctor Name: | CHRISTOPHER M EDWARDS |
NPI Number: | 1144333428 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 2255 |
Business Practice Address: | 152 Dresden Ave Gardiner, ME - 043452615 |
Business Phone Number: | 2075826608 |
Business Fax Number: | 2075822258 |
Mailing Address: | 152 Dresden Ave, GARDINER |
State: | ME |
Postal Code: | 043452615 |
Phone Number: | 2075826608 |
Fax Number: | 2075822258 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 2255 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |