Organization
JOSEPH M PEDERZOLLI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE PEDERZOLLI (OFFICE MANAGER)
(330) 913-7333
Entity
Organization
Contact information
Practice address
32 E BROADWAY ST, ALLIANCE, OH 44601-2647
(330) 913-7333
(330) 913-7334
Mailing address
PO BOX 2938, ALLIANCE, OH 44601-0938
(330) 206-9401
(330) 913-7333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3433T596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399911
—
OH
Enumeration date
02/08/2018
Last updated
02/08/2018
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