Active NPIIndividual provider

Dr. Edward J White, MD, FACS

Surgery in Enfield, Connecticut

NPI Number1104824788
Practice location
146 Hazard Ave, Suite 101-B, Enfield, CT 06082-4571
Fax
860-749-7196
Last updated
March 31, 2010

Edward J. White is a Surgery based in Enfield, CT. Edward J. White practices in Enfield, CT and has the professional credentials of MD, FACS. The NPI Number for Edward J. White is 1104824788 and holds a License No. 039210 (CT). The current practice location address for Edward J. White is 146 Hazard Ave, Suite 101-B, Enfield, CT 06082-4571 and can be reached out via phone at 860-749-2318 and via fax at 860-749-7196.

Provider Profile Details

NPI Number
1104824788
Provider Name
Edward J. White
Credential
MD, FACS
Provider Entity Type
Individual
Gender
Male
Address
146 Hazard Ave, Suite 101-B, Enfield, CT 06082-4571
Phone Number
860-749-2318
Fax Number
860-749-7196
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2005
Last Update Date
March 31, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Hazard Ave
Suite 101-B
Enfield, CT 06082-4571
Zip
06082-4571
Phone Number
860-749-2318
Fax Number
860-749-7196
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
Po Box 789
Ludlow, MA 01056-0789
City
Ludlow
State
MA
Zip
01056-0789
Phone Number
413-509-1000
Fax Number
413-509-1003

License Information

License Number (1)
039210
License State (1)
CT
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
039210
License State (2)
CT
Taxonomy (2)
Surgery, Surgical Oncology · 2086X0206X
License Number (3)
039210
License State (3)
CT
Taxonomy (3)
· 2086S0129X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edward J White, MD, FACS?

The NPI number of Dr. Edward J White, MD, FACS is 1104824788. It was assigned on July 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward J White, MD, FACS?

Dr. Edward J White, MD, FACS is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 039210.

Where does Dr. Edward J White, MD, FACS practice?

The practice location is 146 Hazard Ave, Suite 101-B, Enfield, CT 06082-4571. The office can be reached at 860-749-2318 (phone) or 860-749-7196 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104824788 directly on the NPPES registry website.

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