Provider Demographics
NPI:1437138625
Name:EDELMAN, GEORGE T (PT)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:T
Last Name:EDELMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 WOLF CREEK BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4968
Mailing Address - Country:US
Mailing Address - Phone:302-734-8000
Mailing Address - Fax:302-734-0102
Practice Address - Street 1:99 WOLF CREEK BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4968
Practice Address - Country:US
Practice Address - Phone:302-734-8000
Practice Address - Fax:302-734-0102
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ100015032251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1114756OtherAETNA HMO
DES84485Medicare UPIN
DEG02164E01Medicare ID - Type Unspecified