Provider Demographics
NPI:1487713475
Name:NEDDE, NORMAN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ROBERT
Last Name:NEDDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WORCESTER LN
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-6323
Mailing Address - Country:US
Mailing Address - Phone:408-354-7613
Mailing Address - Fax:408-395-5939
Practice Address - Street 1:111 WORCESTER LN
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6323
Practice Address - Country:US
Practice Address - Phone:408-354-7613
Practice Address - Fax:408-395-5939
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC29571207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C295710Medicare ID - Type Unspecified