Individual
PETER JAMES RIDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD018887E
PA
207XS0106X
Orthopaedic Hand Surgery Physician
MD018887E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD018887E
PA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD018887E
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD018887E
PA
207XX0801X
Orthopaedic Trauma Physician
MD018887E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007978670002
—
PA
Enumeration date
09/29/2005
Last updated
09/18/2013
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