Andrew C Pederzolli Md Inc

LBN: Andrew C Pederzolli Md Inc
Andrew C Pederzolli Md Inc is an health care organization with primary practice located at 1059 E State St , Salem OH 44460. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Andrew C Pederzolli Md Inc can be contacted via phone (330) 332-9991, or through Pederzolli, Andrew C via phone (330) 332-9991.

Contact Information

Primary practice address
1059 E State St Salem OH 44460
Phone: (330) 332-9991
Fax: (330) 332-2188
Website:
Map and Directions
Authorized official contact:
Name: Pederzolli, Andrew C Doctor of Medicine (MD)
Phone: (330) 332-9991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1184697294
LBN Legal business name Andrew C Pederzolli Md Inc
DBA Doing business as
Authorized official Pederzolli, Andrew C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 14th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184697294 NPPES
Ohio MEDICAID 0173771

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