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Edison Au, PT
Specialist in Chevy Chase, Maryland
NPI 1104922509

Edison Au is a Specialist based in Kensington, MD. Edison Au practices in Chevy Chase, MD and has the professional credentials of PT. The NPI Number for Edison Au is 1104922509 and holds a License No. 21330 (Maryland).

The current practice location address for Edison Au is 5454 Wisconsin Ave, Chevy Chase, MD and can be reached out via phone at 301-951-8593 and via fax at 301-951-8598.

Location: 5454 Wisconsin Ave, Chevy Chase, MD, 20895-1160
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Provider Profile Details
NPI Number
1104922509
Provider Name
Edison Au
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
5454 Wisconsin Ave, Chevy Chase, MD, 20895-1160
Phone Number
301-951-8593
Fax Number
301-951-8598
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1452-0010 01 DC CAREFIRST
institution
Provider Business Practice Location Address Details
Address
5454 Wisconsin Ave
City
State
Zip
20815-6901
Phone Number
301-951-8593
Fax Number
301-951-8598
person
Provider Business Mailing Address Details
Address
5454 Wisconsin Ave
City
State
Zip
20815-6901
Phone Number
301-951-8593
Fax Number
301-951-8598
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
21330 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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