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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL JARED EDENZON, DC

Active

DR. MICHAEL JARED EDENZON, DC is a Nutrition (Chiropractor) healthcare provider located in WILMINGTON, Delaware. NPI 1790860476 is currently active in the NPPES registry. Verify at CMS.

Nutrition (Chiropractor) · WILMINGTON, DE

Registration Details

NPI Number
1790860476
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2006 (19.781708213764 yrs)
Last Updated
Jun 14, 2022
Licenses
DC-007149-L (PA)
111NN1001X (DE)

Practice Information

Address
1010 CONCORD AVENUE
STE 101
WILMINGTON, DE, 198023366
Browse DE providers · Browse ZIP 19802
Phone
3027775551
Fax
3027775567
Primary Specialty
Nutrition (Chiropractor)
111NN1001X
Additional Specialty
Nutrition (Chiropractor)
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.