Individual
DR. JAMES MONROE PEDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WOODED LANE, VILLANOVA, PA 19085-1414
(610) 525-1872
(610) 525-3357
Mailing address
101 WOODED LANE, VILLANOVA, PA 19085-1414
(610) 525-1872
(610) 525-3357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ND007428E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554626
—
PA
Enumeration date
09/29/2006
Last updated
07/08/2007
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