Individual
JOSEPH PETER NEDRESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD030570E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD030570E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025763001
UNIVERA
NY
05
—
0012584180008
—
PA
01
—
01613450
NY MEDICAL ASSISTANCE
NY
01
—
089742
UNISON - IMAGING CENTER
PA
01
—
1068775
WEST VIRGINIA WORK COMP
WV
01
—
147557
UNISON - HAMOT RADIOLOGY
PA
01
—
1509348
GATEWAY
PA
01
—
153688
BLUE SHIELD
PA
01
—
300107129
RR MEDICARE
PA
01
—
302903
UPMC
PA
01
—
3341496
AETNA
PA
01
—
864953
OH MEDICAL ASSISTANCE
OH
Enumeration date
07/19/2005
Last updated
05/16/2013
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