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Carl George Edelen

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave, #116a, West Haven, CT 06516-2770

PECOS Enrollment

This provider is enrolled in PECOS as CARL EDELEN.

Based on the most recent information from CMS, provider Carl George Edelen is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1609976935
Provider Type
Individual
Full Name
Edelen, Carl George
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/25/2006
Last Updated
7/8/2007

Contact Information

Practice Location

950 Campbell Ave, #116a, West Haven, CT 06516-2770

(203) 932-5711

Unlisted Fax

Mailing Location

256 W Rock Ave, New Haven, CT 06515-2131

(203) 397-5017

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 038966 Connecticut

Carl George Edelen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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