Individual
NATHANIEL A PEARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2080 HIGHWAY 35, HOLMDEL, NJ 07733-1031
(732) 671-5777
(732) 671-3230
Mailing address
PO BOX 5220, TOMS RIVER, NJ 08754-5220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MB07585100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2399317
UNITED HEALTHCARE
—
01
—
342024631
HORIZON BCBS
NJ
01
—
3768497
AETNA
—
01
—
7579224
CIGNA
—
01
—
P00259537
RAILROAD MEDICARE
—
01
—
P3598213
OXFORD
—
Enumeration date
06/05/2006
Last updated
07/08/2007
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