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1487151270

NPI Code Detail

MEDICARE: DR. MELINDA J EDWARDS MD

MEDICARE: DR. MELINDA J EDWARDS 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	207L00000X	Anesthesiology Physician	292334	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1487151270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA J EDWARDS MD

Provider Business Mailing Address
First Line	:	960 MASSACHUSETTS AVENUE
Second Line	:	FL 2
City	:	BOSTON
State	:	MA
Zip	:	02118-2690
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BOSTON MEDICAL CTR PL
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2908
Country	:	US
Telephone Number	:	617-638-6950
Fax Number	:	617-638-6966

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	01/26/2026

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Directions to “ DR. MELINDA J EDWARDS MD” Practice Location

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