Provider Demographics
NPI:1467498410
Name:EDELMAN, JULIA F (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:F
Last Name:EDELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:F
Other - Last Name:SCHLAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:511 W GROVE ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-1458
Mailing Address - Country:US
Mailing Address - Phone:508-947-0800
Mailing Address - Fax:508-947-8133
Practice Address - Street 1:511 W GROVE ST
Practice Address - Street 2:SUITE 304
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1458
Practice Address - Country:US
Practice Address - Phone:508-947-0800
Practice Address - Fax:508-947-8133
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA51673207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA57023Medicare UPIN
MAJ03436Medicare PIN