Individual
DR. ERNESTO ROEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 W 3RD AVE, WARREN, PA 16365-2201
(814) 723-5545
(814) 723-6355
Mailing address
514 W 3RD AVE, WARREN, PA 16365-2201
(814) 723-5545
(814) 723-6355
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD050021L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00050294001
UNIVERA
PA
01
—
271900
HEALTH AMERICA/VALUE OPTI
PA
01
—
748501
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/01/2006
Last updated
07/08/2007
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