| NPI | 1265764443 |
|---|---|
| Doing Business As | EDISON SQUARE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER Sr. VP 704-403-4146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-09-09 |