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NPI Code Detail

MEDICARE: DR. EDWIN ANSELMI MD

MEDICARE: DR. EDWIN ANSELMI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician39788CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790780989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN ANSELMI MD
Provider Business Mailing Address
First Line : 7960 S UNIVERSITY BLVD STE 203
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-3167
Country : US
Telephone Number : 720-344-2680
Fax Number : 720-344-2681
Provider Business Practice Location Address
First Line : 7960 S UNIVERSITY BLVD STE 203
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-3167
Country : US
Telephone Number : 720-344-2680
Fax Number : 720-344-2681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 10/17/2023

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