Dr. Jeremy Vaughan Edwards, D.O.
Pediatrics, Hospice and Palliative Medicine in Bethesda, MD. Individual provider (NPI-1).
NPI number1548269285
StatusActive
Last updated in NPPESMay 2, 2020
Details
- NPI
- 1548269285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy Vaughan Edwards
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2005
- Certification date
- May 2, 2020
- Last updated
- May 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080H0002X | Pediatrics, Hospice and Palliative Medicine | DOS951 | HI | Yes |
| 208000000X | Pediatrics | DOS951 | HI | |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | DOS951 | HI |
Practice location
4494 North Palmer Road Department Of PediatricsBethesda, MD 20889-5001
Phone 301-400-3327
Mailing address
21320 Ridgecroft DrBrookeville, MD 20833-1818
Phone 808-233-9121
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