Individual
JOSEPH M PEDERZOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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) 913-7333
(330) 913-7334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3433T596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135321
ANTHEM
OH
05
—
0399911
—
OH
Enumeration date
08/23/2005
Last updated
02/01/2017
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