Individual
EDWARD BRIAN PETRASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7173 BERNVILLE RD, BERNVILLE, PA 19506-8624
(610) 488-6291
(610) 488-0534
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD063279L
PA
Other
Enumeration date
07/02/2006
Last updated
11/04/2014
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