| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EDWARD SHALOM | 1386211605 | 2021-06-06 |
Edward Shalom is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386211605. Registration indicates Edward Shalom is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Mr. Edward Shalom CPT, FNS |
| Practice Office Address | 4111 JEFFERSON ST HYATTSVILLE, MD US |
| Practice Office Telephone | 2403830139 |
| Mailing Address | 2316 RHODE ISLAND AVE NE WASHINGTON, DC 200182829 US |
| Business Telephone | 2403830139 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | T212693
MD |