Provider Demographics
NPI:1396803912
Name:EDELSTEIN, ANDREW ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROBERT
Last Name:EDELSTEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10200 W STATE ROAD 84
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4204
Mailing Address - Country:US
Mailing Address - Phone:954-577-7789
Mailing Address - Fax:954-577-0799
Practice Address - Street 1:10200 W STATE ROAD 84
Practice Address - Street 2:SUITE 101
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4204
Practice Address - Country:US
Practice Address - Phone:954-577-7789
Practice Address - Fax:954-577-0799
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-02-09
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Provider Licenses
StateLicense IDTaxonomies
FLME636302080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology