Provider Demographics
NPI:1023281532
Name:PEDERSEN, DEBORAH JEAN ACCETTA (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JEAN ACCETTA
Last Name:PEDERSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:J
Other - Last Name:ACCETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 INDUSTRIAL PARK RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7393
Mailing Address - Country:US
Mailing Address - Phone:508-880-3121
Mailing Address - Fax:508-880-0926
Practice Address - Street 1:101 INDUSTRIAL PARK RD
Practice Address - Street 2:SUITE 307
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7393
Practice Address - Country:US
Practice Address - Phone:508-880-3121
Practice Address - Fax:508-880-0926
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA246209207K00000X
IL125049414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics