Search › Pennsylvania › 207Q00000X
Daniel Pedersen, DO
NPI 1790066108 · on the registry since 2011 · sole proprietor
Practice
- Address
- 200 Schuylkill Medical Plz
Pottsville, PA 17901 - Phone
- (570) 621-9270
- Fax
- (570) 621-9271
- Organisation at this address
- Lehigh Valley Physician Group
Schuylkill Health System Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 1791 Airport Rd, Allentown, PA
- 1450e Chestnut Ave 3d, Vineland, NJ
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
207Q00000X - Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania