Provider Demographics
NPI:1841292414
Name:PEDLOW, FRANK X JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:X
Last Name:PEDLOW
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-0086
Mailing Address - Country:US
Mailing Address - Phone:781-749-9071
Mailing Address - Fax:781-749-2133
Practice Address - Street 1:30 LANCASTER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-1704
Practice Address - Country:US
Practice Address - Phone:617-227-9300
Practice Address - Fax:617-227-3800
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2010-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA79694207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3127079Medicaid
MA3127079Medicaid
MAF82731Medicare UPIN