Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A EDELMAN, M.D.
ActiveMARK A EDELMAN, M.D. is a Therapeutic Radiology healthcare provider located in STAMFORD, Connecticut. NPI 1063405819 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · STAMFORD, CT
Registration Details
- NPI Number
- 1063405819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (20.99508213702 yrs)
- Last Updated
- Jun 4, 2019
- Licenses
-
036094621 (IL)036094621 (IL)172012-1 (NY)51858 (CT)
Practice Information
- Address
-
1290 SUMMER ST STE 2100STAMFORD, CT, 069055340Browse CT providers · Browse ZIP 06905
- Phone
- 8558308346
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Therapeutic Radiology
- Additional Specialty
- Therapeutic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.