Individual
DR. PASQUALE PETRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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