Individual
DR. PAMELA CAROL PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
48 LOWER NEWTON ST, SUITE 2, SAINT ALBANS, VT 05478-1907
(802) 524-4554
(802) 524-4501
Mailing address
PO BOX 132, 1140 MAIN STREET, FAIRFAX, VT 05454-0132
(516) 232-7195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0009670
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1889
—
VT
Enumeration date
12/13/2007
Last updated
10/12/2009
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