# DR. ANDREA D PEDANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699725432
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS008075L | PA | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001494970 | — | PA |
| 01 | — | 0808997 | AETNA | PA |
| 01 | — | 1050839 | KEYSTONE MERCY | PA |
| 01 | — | 1159711009 | CIGNA | PA |
| 01 | — | 1464 | ELDERHEALTH | PA |
| 01 | — | 2290076001 | KEYSTONE | PA |
| 01 | — | 40481 | AETNA- USHC | PA |
| 01 | — | 500763 | BLUE CROSS/BLUE SHIELD | PA |