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Alicia Renee Edelblute, PA-C
Medical Physician Assistant in Newark, Delaware
NPI 1003143330

Alicia Renee Edelblute is a Medical Physician Assistant based in Upper Chichester, DE and is specialized in Medical. Alicia Renee Edelblute practices in Newark, DE and has the professional credentials of PA-C. The NPI Number for Alicia Renee Edelblute is 1003143330 and holds a License No. DE C5 0000687 (Delaware).

The current practice location address for Alicia Renee Edelblute is 4755 Ogletown Stanton Rd, Newark, DE and can be reached out via phone at 610-406-7662.

Location: 4755 Ogletown Stanton Rd, Newark, DE, 19061-2644
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Provider Profile Details
NPI Number
1003143330
Provider Name
Alicia Renee Edelblute
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4755 Ogletown Stanton Rd, Newark, DE, 19061-2644
Phone Number
610-406-7662
Fax Number
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE C50000687 01 DE DE STATE BOARD OF MEDICINE
institution
Provider Business Practice Location Address Details
Address
4755 Ogletown Stanton Rd
City
State
Zip
19718-2200
Phone Number
610-406-7662
Fax Number
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Provider Business Mailing Address Details
Address
4755 Ogletown Stanton Rd
City
State
Zip
19718-2200
Phone Number
610-406-7662
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
DE C5 0000687 (Delaware)
Definition
Definition to come...
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