institution
Robert K. Petrelli, Od
Customized Equipment (DME) in North Wildwood, New Jersey
NPI 1083896153

Robert K. Petrelli, Od is a Customized Equipment (DME) based in North Wildwood, NJ and is specialized in Customized Equipment. Robert K. Petrelli, Od practices in North Wildwood, NJ. The NPI Number for Robert K. Petrelli, Od is 1083896153 and holds a License No. NJ3013 (New Jersey).

The current practice location address for Robert K. Petrelli, Od is 1400 New Jersey Ave, North Wildwood, NJ and can be reached out via phone at 609-522-4199 and via fax at 609-522-3692.

Location: 1400 New Jersey Ave, North Wildwood, NJ, 08260-2738
institution
Provider Profile Details
NPI Number
1083896153
Provider Name
Robert K. Petrelli, Od
Credential
Provider Entity Type
Organization
Address
1400 New Jersey Ave, North Wildwood, NJ, 08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692
Provider Enumeration Date
11/30/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0097739000 01 NJ AMERIHEALTH
2400901 05 NJ
455040 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
1400 New Jersey Ave
City
State
Zip
08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692
person
Provider Business Mailing Address Details
Address
1400 New Jersey Ave
City
State
Zip
08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
NJ3013 (New Jersey)
Definition
Definition to come...
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