| Doctor Name: | MARK NEWMAN PEDERSON |
| NPI Number: | 1063457034 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G33814 |
| Business Practice Address: | 1783 El Camino Real Burlingame, CA - 940103205 |
| Business Phone Number: | 6506965515 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 6102, NOVATO |
| State: | CA |
| Postal Code: | 949486102 |
| Phone Number: | 4158843418 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 02/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | G33814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |