Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD TERRY
ActiveEDWARD TERRY is a 125J00000X healthcare provider located in ALEXANDRIA, Virginia. NPI 1588086359 is currently active in the NPPES registry. Verify at CMS.
125J00000X · ALEXANDRIA, VA
Registration Details
- NPI Number
- 1588086359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2014 (12.627100273787 yrs)
- Last Updated
- Jun 17, 2025
- Licenses
-
0402206182 (VA)D180 (MN)D180 (MN)
Practice Information
- Address
-
2 E GLEBE RDALEXANDRIA, VA, 223052938Browse VA providers · Browse ZIP 22305
- Phone
- 7035355568
- Fax
- 7035351583
- Primary Specialty
-
125J00000X
125J00000X
- Additional Specialty
- 125K00000X
- Additional Specialty
- 125J00000X
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.