Individual provider · Type 1 NPI

Mauricio A. Pedroza, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1265744692 Active

Practice location

5501 Old York Rd, Klein Professional Building, Suite 363
Philadelphia, PA 19141-3018

Call (215) 456-7890 Map

Fax (215) 456-7926

Mailing address

1621 Mount Vernon St, Apartment B
Philadelphia, PA 19130-3319

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT197874 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265744692

Mauricio A. Pedroza, MD's National Provider Identifier is 1265744692, issued on Jul 14, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 14, 2010.