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Individual
MR. ANTONIO PEDULLA JR.
Active
Individual
MR. ANTONIO PEDULLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN674446
PA
363LF0000X
Family Nurse Practitioner
SP024827
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027026
PA
Other
Enumeration date
11/04/2021
Last updated
02/13/2025
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