Individual provider · Type 1 NPI

Dylan Edelbaum

Student in an Organized Health Care Education/Training Program · Danbury, CT

NPI number 1134575442 Active

Practice location

120 Main St
Danbury, CT 06810-7834

Call (203) 743-9760 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1.080399-RES (CT)
Licensed Practical Nurse 164W00000X4703116404 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134575442

Dylan Edelbaum's National Provider Identifier is 1134575442, issued on May 5, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danbury, CT. The record was last updated on Apr 9, 2025.