Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD RE III, MD
ActiveEDWARD RE III, MD is a Sports Medicine (Pediatrics) healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1144675828 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1144675828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2016 (10.332769634683 yrs)
- Last Updated
- Jun 29, 2021
- Licenses
-
MT210381 (PA)MT210381 (PA)MD468533 (PA)
Practice Information
- Address
-
3401 CIVIC CENTER BLVDDIVISION OF SPORTS MEDICINEPHILADELPHIA, PA, 191044319Browse PA providers · Browse ZIP 19104
- Phone
- 7185980278
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
- Additional Specialty
- Sports Medicine (Pediatrics)
Other Sports Medicine (Pediatrics) Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA L MASTER | MD | 1679519862 |
| MATTHEW F GRADY | MD | 1366470429 |
| KATHLEEN B O'BRIEN | MD | 1861577959 |
| MICHAEL WOLF | M.D. | 1457558660 |
| NAOMI J. BROWN | MD | 1184814949 |
| BRIAN THOMAS VERNAU | MD | 1457593220 |
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.