Pederzolli, Andrew C

Pederzolli, Andrew C is an individual health care provider with primary practice located at 1059 E State St , Salem OH 44460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pederzolli, Andrew C can be contacted via phone (330) 332-9991.

Contact Information

Primary practice address
1059 E State St Salem OH 44460
Phone: (330) 332-9991
Fax: (330) 352-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35043732 Ohio

Profile Details

NPI number 1730159559
LBN Legal business name Pederzolli, Andrew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730159559 NPPES
Ohio MEDICAID 0488048

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