Individual
NATHANIEL A PEARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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