# ANDREA D. PEDANO, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801917471
- **Authorized official:** DR. ANDREA D PEDANO D.O. (PHYSICIAN, OWNER)
- **Authorized official phone:** (215) 487-1887

## Contact information

- **Practice address:** 5458 RIDGE AVE, PHILADELPHIA, PA 19128-3732
- **Practice address phone:** (215) 487-1887
- **Practice address fax:** (215) 487-1818
- **Mailing address:** 5458 RIDGE AVE, PHILADELPHIA, PA 19128-3732
- **Mailing address phone:** (215) 487-1887
- **Mailing address fax:** (215) 487-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS 008075 L | PA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 10/27/2010