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Contact Information

TINA B EDMONSTON, MD
200 FEDERAL ST
SUITE 437
CAMDEN, NJ08103-1061
 Phone: 856-963-0573
 Fax: 856-541-6037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TINA B EDMONSTON · (Female)

NPI # 1679581284
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2006
Last updated 09/27/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD421051
  • NJ Medicaid 0043141
  • PA Medicaid 101103749
Hospital affiliation(s)
  • COOPER UNIVERSITY HOSPITAL - (Acute Care)
    1 COOPER PLAZA
    CAMDEN, NJ 08103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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