Individual
DR. MARSHALL E PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6000
(315) 801-8391
Mailing address
2209 GENESEE ST, BUSINESS OFFICE, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
126996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650237
—
NY
Enumeration date
04/13/2006
Last updated
04/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us