| Pedersen Family Medicine, Llc | |
|
1450 E Chestnut Ave Building 3, Suite D Vineland NJ 08361-8467 | |
| (856) 692-0050 | |
| (856) 692-0081 |
| Full Name | Pedersen Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 E Chestnut Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Daniel A Pedersen (SOLE MEMBER) |
| Authorized Official Contact | 8566305506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedersen Family Medicine, Llc 2743 Bethpage Ct Vineland NJ 08361-7741 Ph: (856) 630-5506 | Pedersen Family Medicine, Llc 1450 E Chestnut Ave Building 3, Suite D Vineland NJ 08361-8467 Ph: (856) 692-0050 |
| NPI Number | 1497123418 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497123418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB09405100 (New Jersey) | Primary |
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