Individual
DR. JOSEFINA DAVID PADERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 WILSON RD, BENTLEYVILLE, PA 15314-1028
(724) 239-2390
(724) 239-2393
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD447251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014582
HIGHMARK BLUE SHIELD
PA
05
—
1007288440027
—
PA
05
—
1007288440030
—
PA
Enumeration date
07/10/2009
Last updated
11/05/2014
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