Organization
ANDREW C PEDERZOLLI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW C PEDERZOLLI MD (OWNER)
(330) 332-9991
Entity
Organization
Contact information
Practice address
1059 E STATE ST, SALEM, OH 44460
(330) 332-9991
(330) 332-2188
Mailing address
1059 E STATE ST, SALEM, OH 44460
(330) 332-9991
(330) 332-2188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173771
—
OH
Enumeration date
02/09/2006
Last updated
09/14/2010
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