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Eric E. Petterson P.c.
Addiction Medicine (Internal Medicine) Physician in Shenandoah, Pennsylvania
NPI 1518417690

Eric E. Petterson P.c. is an Addiction Medicine (Internal Medicine) Physician based in Shenandoah, PA and is specialized in Addiction Medicine. Eric E. Petterson P.c. practices in Shenandoah, PA. The NPI Number for Eric E. Petterson P.c. is 1518417690 and holds a License No. MD039636L (Pennsylvania).

The current practice location address for Eric E. Petterson P.c. is 1 S Main St, Shenandoah, PA and can be reached out via phone at 570-861-0802 and via fax at 570-462-1040.

Location: 1 S Main St, Shenandoah, PA, 17976-2332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518417690
Provider Name
Eric E. Petterson P.c.
Credential
Provider Entity Type
Organization
Address
1 S Main St, Shenandoah, PA, 17976-2332
Phone Number
570-861-0802
Fax Number
570-462-1040
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010036980010 05 PA
institution
Provider Business Practice Location Address Details
Address
1 S Main St
City
Shenandoah
State
Pennsylvania
Zip
17976
Phone Number
570-861-0802
Fax Number
570-462-1040
person
Provider Business Mailing Address Details
Address
1 S Main St
City
Shenandoah
State
Pennsylvania
Zip
17976
Phone Number
570-861-0802
Fax Number
570-462-1040
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
MD039636L (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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