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Contact Information

WILLIAM EDWARDS
USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY13602
 Phone: 315-772-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM EDWARDS · (Male)

NPI Number 1629161856
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 12/27/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-085195
  • IL Medicaid 036085195
Hospital affiliation(s) Not Available
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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