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1013963321
EDWARD J PRENDERGAST
MADISON, WI
NPI
1013963321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: WI 19055-020)
Enumeration Date
2006-05-26
Last Update Date
2014-02-03
Business Address
-- EDWARD J PRENDERGAST MD
535 S SHORE DR
MADISON, WI 53715-1703
Phone number: 608-255-3786
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Mailing Address
-- EDWARD J PRENDERGAST MD
535 S SHORE DR
MADISON, WI 53715-1703
Phone number: 608-255-3786
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