MEDICARE: TERRENCE J PEDROTTY C.R.N.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN264520L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760480529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRENCE J PEDROTTY C.R.N.A.

Provider Business Mailing Address
First Line	:	PO BOX 8500-345
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0001
Country	:	US
Telephone Number	:	717-263-4462
Fax Number	:	717-263-1566

Provider Business Practice Location Address
First Line	:	2301 S BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-3542
Country	:	US
Telephone Number	:	215-952-9323
Fax Number	:	215-952-1246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	03/10/2014

Similar Medicare Providers

1871957324 — TEJAL ULHAS NAIK M.D.
Practice Location Address:

2301 S BROAD ST
PHILADELPHIA, PA
19148-3542

Practice Phone: 215-952-9368
Practice Fax: 215-952-9014

1134124621 — DEBORAH A SERBA CRNA
Practice Location Address:

2301 S BROAD ST
PHILADELPHIA, PA
19148-3542

Practice Phone: 215-952-9323
Practice Fax:

1255338729 — IRENE WATTS AMADIO C.R.N.A.
Practice Location Address:

2301 S BROAD ST , 1ST FLOOR
PHILADELPHIA, PA
19148-3542

Practice Phone: 215-952-9323
Practice Fax: 215-952-1246

1003816968 — HARVEY J. BELLIN ASSOCIATES
Practice Location Address:

2301 S BROAD ST
PHILADELPHIA, PA
19148-3542

Practice Phone: 610-459-3113
Practice Fax:

1306831326 — DR. MARK W COOPER M.D.,MBA
Practice Location Address:

2301 S BROAD ST , SUITE 205A
PHILADELPHIA, PA
19148-3542

Practice Phone: 215-952-9153
Practice Fax: 215-952-1255

1821083858 — KAREN WOREK CRNA
Practice Location Address:

2301 S BROAD ST
PHILADELPHIA, PA
19148-3542

Practice Phone: 215-952-9323
Practice Fax:

Directions to “ TERRENCE J PEDROTTY C.R.N.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.