Edward Re, MD

Individual Active
NPI 1144675828
Pediatric Sports Medicine Physician Philadelphia, PA

Edward Re, MD holds NPI 1144675828, with a primary taxonomy of pediatric sports medicine physician and a practice location in Philadelphia, PA. The number was issued on April 29, 2016 and the NPPES record was last updated on June 29, 2021. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X MD468533 (PA)
Pediatrics Physician 208000000X MT210381 (PA)
Pediatric Sports Medicine Physician 2080S0010X MT210381 (PA)

Practice location

3401 Civic Center Blvd
Division Of Sports Medicine
Philadelphia, PA 19104-4319
Phone: (718) 598-0278

Local context

Active NPPES records list 18 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 14 of them within 10 miles.

The same primary taxonomy is listed by 19 in Pennsylvania and 288 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Edward Re III
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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