Jaime Pedraza is a Medical in Chester, Pennsylvania. Jaime Pedraza practices all healthcare services and medical treatments related to Medical. The NPI Number for Jaime Pedraza is 1790774297. The last update date is 2019-01-15.
Jaime Pedraza's current location address is 30 Medical Center Blvd Bldg 1, Chester, Pennsylvania. You can contact this provider via phone number 6108746448. The mailing address for Jaime Pedraza is 30 Medical Center Blvd Bldg 1, Chester, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime Pedraza |
|---|---|
| Address | 30 Medical Center Blvd Bldg 1, Chester, Pennsylvania |
| Phone Number | 6108746448 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1790774297 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2019-01-15 |
Provider Mailing Address Detail
| Address | 30 Medical Center Blvd Bldg 1 |
|---|---|
| City | Chester |
| State | Pennsylvania (PA) |
| Post Code | 190133955 |
| Phone Number | 6108746448 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA2779 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA-002409-L | PA | PENNSYLVANIA LICENCE | |
| PA2779 | FL | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jaime Pedraza by the Centers for Medicare & Medicaid Services?
The Jaime Pedraza has been issued the NPI (National Provider Identifier) 1790774297 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jaime Pedraza?
The Jaime Pedraza is physically situated at 30 Medical Center Blvd Bldg 1, in the city of Chester, state of PA, with the postal code 190133955.
What is the Jaime Pedraza's specialty and taxonomy code?
The Jaime Pedraza's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date was the 1790774297 assigned to Jaime Pedraza?
The Jaime Pedraza was issued its 1790774297 on 2005-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jaime Pedraza most recently updated or revised?
The information pertaining to Jaime Pedraza, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-15.
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