Healthcare Provider Details

I. General information

NPI: 1003886987
Provider Name (Legal Business Name): EDWARD W. CATALANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SCIENCE CT SUITE 200
COLUMBIA SC
29203-9344
US

IV. Provider business mailing address

1 SCIENCE CT SUITE 200
COLUMBIA SC
29203-9344
US

V. Phone/Fax

Practice location:
  • Phone: 803-252-1913
  • Fax: 803-252-2330
Mailing address:
  • Phone: 803-252-1913
  • Fax: 803-252-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number5683
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number5683
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: