Provider Demographics
NPI:1629053053
Name:CEDAR, MARK A (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:CEDAR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2589 BOYCE PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-4907
Mailing Address - Country:US
Mailing Address - Phone:412-232-8104
Mailing Address - Fax:412-281-1898
Practice Address - Street 1:2589 BOYCE PLAZA RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-4907
Practice Address - Country:US
Practice Address - Phone:412-232-8104
Practice Address - Fax:412-281-1898
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2021-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010433L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10089940200Medicaid
PAI03876Medicare UPIN
PA077874FAMMedicare ID - Type Unspecified