Individual provider · NPI-1

Edward Descallar, M.D.

Emergency Medicine · Orange Park, FL

NPI number1225423429
StatusActive
Last updated in NPPESJan 30, 2019

Details

NPI
1225423429
Entity type
Individual (NPI-1)
Name
Edward Descallar
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 3, 2015
Last updated
Jan 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineME0135003FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-8500

Mailing address

110 Irving St Nw
Dept Of Emergency Medicine
Washington, DC 20010-3017

Phone 202-877-8080 · Fax 202-877-7633

Other practice locations

110 Irving St Nw
Dept Of Emergency Medicine
Washington, DC 20010-3017

Phone 202-877-8080 · Fax 202-877-7633

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