Healthcare Provider Details

I. General information

NPI: 1225206378
Provider Name (Legal Business Name): EDWARD SAUNDERS, MD,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SIXTH STREET SUGAR ESTATE FLOOR NO 1
ST.THOMAS VI
00802
US

IV. Provider business mailing address

10 SIXTH STREET SUGAR ESTATE
ST.THOMAS VI
00802
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-3773
  • Fax: 340-776-3773
Mailing address:
  • Phone: 340-776-3773
  • Fax: 340-776-3773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number801
License Number StateVI

VIII. Authorized Official

Name: EDWARD SAUNDERS,MD
Title or Position: DIRECTOR
Credential: MD
Phone: 340-776-3773