Individual
NATHANIEL C PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-5698
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD431811
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102040062
—
PA
01
—
P00692013
RAILROAD MEDICARE
PA
Enumeration date
08/07/2007
Last updated
02/19/2014
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