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Contact Information

EDWARD RE III, MD
3401 CIVIC CENTER BLVD
DIVISION OF SPORTS MEDICINE
PHILADELPHIA, PA19104-4319
 Phone: 718-598-0278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EDWARD RE III · (Male)

NPI Number 1144675828
Status Active
Credentials MD
Entity Individual
Enumeration date 04/29/2016
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD468533
  • PA License # MT210381
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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