MEDICARE: JULIA F EDELMAN 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
1	207VG0400X	Gynecology Physician	51673	MA

General Provider Information

NPI Number	:	1467498410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA F EDELMAN MD

Provider Business Mailing Address
First Line	:	511 W GROVE ST
Second Line	:	SUITE 304
City	:	MIDDLEBORO
State	:	MA
Zip	:	02346-1458
Country	:	US
Telephone Number	:	508-947-0800
Fax Number	:	508-947-8133

Provider Business Practice Location Address
First Line	:	511 W GROVE ST
Second Line	:	SUITE 304
City	:	MIDDLEBORO
State	:	MA
Zip	:	02346-1458
Country	:	US
Telephone Number	:	508-947-0800
Fax Number	:	508-947-8133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	06/28/2022

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