Doctor Name: | DR. ANDREW J PEDINOFF |
NPI Number: | 1033116801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA05333800 |
Business Practice Address: | 24 Vreeland Dr Skillman, NJ - 085582621 |
Business Phone Number: | 6099212202 |
Business Fax Number: | 6099241468 |
Mailing Address: | 24 Vreeland Dr, SKILLMAN |
State: | NJ |
Postal Code: | 085582621 |
Phone Number: | 6099212202 |
Fax Number: | 6099241468 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | 25MA05333800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |