Organization
EDGAR C CORDERO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR CORTAZAR CORDERO MD (PRESIDENT)
(724) 379-7250
Entity
Organization
Contact information
Practice address
627 MCKEAN AVE, DONORA, PA 15033-1002
(724) 379-7250
(724) 379-7608
Mailing address
627 MCKEAN AVE, PO BOX 641, DONORA, PA 15033-1002
(724) 379-7250
(724) 379-7608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD034650L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927550
—
PA
Enumeration date
08/09/2005
Last updated
08/22/2020
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