Provider Demographics
NPI:1225206378
Name:EDWARD SAUNDERS, MD,PC
Entity type:Organization
Organization Name:EDWARD SAUNDERS, MD,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS,MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-776-3773
Mailing Address - Street 1:10 SIXTH STREET
Mailing Address - Street 2:SUGAR ESTATE
Mailing Address - City:ST.THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-776-3773
Mailing Address - Fax:340-776-3773
Practice Address - Street 1:10 SIXTH STREET
Practice Address - Street 2:SUGAR ESTATE FLOOR NO 1
Practice Address - City:ST.THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-3773
Practice Address - Fax:340-776-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI801261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0029897Medicare UPIN