Individual
DR. PASQUALE PETRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 WOODBROOKE DRIVE, SALISBURY, MD 21804
(410) 749-4154
(410) 860-9583
Mailing address
PO BOX 69709, BALTIMORE, MD 21264-9709
(410) 749-4154
(410) 860-9583
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D44707
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000575601
—
DE
01
—
0008W409
BCBS PROD FEP BLUE CHOICE
—
05
—
006400248
—
VA
01
—
091051
TRIGON BCBS
VA
01
—
200022316
RAILROAD MEDICARE
—
01
—
217742
MDIPA OPTIMUM CHOICE
MD
01
—
221921800
US DEPARTMENT OF LABOR
—
01
—
3226879
AETNA
—
01
—
327279
PRIME HEALTH
—
01
—
44707
FREESTATE DELMARVA HEALTH
—
01
—
52819001H524PE
BCBS TRAD PRODUCTS
—
05
—
588841700
—
MD
01
—
66G41
EMPIRE BCBS
—
Enumeration date
11/09/2005
Last updated
08/28/2025
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