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Edward Shalom

NPI Registration Record

Provider / OrganizationNPIDate Certified
EDWARD SHALOM13862116052021-06-06

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 TypeIndividual
Provider NameMr. Edward Shalom CPT, FNS
Practice Office Address4111 JEFFERSON ST
HYATTSVILLE, MD US
Practice Office Telephone2403830139
Mailing Address2316 RHODE ISLAND AVE NE
WASHINGTON, DC 200182829 US
Business Telephone2403830139
HPT Codes
CodePractice
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
OPI Codes

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