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Individual

TERRENCE J PEDROTTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9323
(215) 952-1246
Mailing address
PO BOX 8500-345, PHILADELPHIA, PA 19178-0001
(717) 263-4462
(717) 263-1566

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN264520L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017255300001
PA
Enumeration date
07/14/2005
Last updated
03/10/2014
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