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Individual
PETER B. EDDE
Active
Individual
PETER B. EDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD425127
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012049750002
—
PA
01
—
11534472
CAQH ID#
PA
01
—
1187096
AETNA HMO
PA
01
—
1642688
HIGHMARK BLUE SHIELD
PA
01
—
2316955000
AMERIHEALTH/INTERCOUNTY
PA
01
—
30028625
KEYSTONE MERCY
PA
01
—
3762098
CIGNA HMO/PPO
PA
01
—
7002774
AETNA PPO
PA
Enumeration date
06/06/2006
Last updated
02/27/2023
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