Provider Demographics
NPI:1407085558
Name:GARNEAU, EDITH (MD)
Entity Type:Individual
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First Name:EDITH
Middle Name:
Last Name:GARNEAU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2255 GLADES RD STE 228W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7391
Mailing Address - Country:US
Mailing Address - Phone:561-425-9483
Mailing Address - Fax:561-658-6142
Practice Address - Street 1:1351 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-7153
Practice Address - Country:US
Practice Address - Phone:508-587-4112
Practice Address - Fax:508-583-6810
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
MA281315207RR0500X
RIMD14754207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology