NPI 1710380381

Matthew Jeremy Edler, MAMTBC

Practitioner Contractor Lewes, DE

Practice location

Address: 31618 Holly CT # H144, Lewes, DE 19958-2051
Phone: (302) 593-7784

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1710380381
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2014
Record last updated: 26 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.