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Individual

ROBERT WILLIAM PETRUSO II

Active
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Individual

ROBERT WILLIAM PETRUSO II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
346
OK
231H00000X
Audiologist
A01527
OH
231H00000X
Audiologist
Primary
AT005853
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375162
ANTHEM BC/BS
OH
05
—
0015214050001
—
PA
01
—
219759
HIGHMARK BC/BS
PA
01
—
251916413
UNITED HEALTHCARE
OH
01
—
314148
UPMC
PA
Enumeration date
05/16/2006
Last updated
05/12/2008
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