Individual provider · Type 1 NPI
Mark Newman Pederson, MD
Diagnostic Radiology Physician · Burlingame, CA
NPI number
1063457034
Active
Practice location
1783 El Camino Real
Burlingame, CA 94010-3205
Mailing address
P.o. Box 6102
Novato, CA 94948-6102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | G33814 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1063457034
Mark Newman Pederson, MD's National Provider Identifier is 1063457034, issued on Jun 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Burlingame, CA. The record was last updated on Feb 6, 2009.