Individual
JAIME PEDRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
30 MEDICAL CENTER BLVD BLDG 1, CHESTER, PA 19013-3955
(610) 874-6448
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 619-7360
(610) 619-7366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA-002409-L
PENNSYLVANIA LICENCE
PA
01
—
PA2779
MEDICAL LICENSE
FL
Enumeration date
10/18/2005
Last updated
01/15/2019
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