Individual
JOHN PETROCCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(845) 492-0718
Mailing address
129 NEPTUNE DR, MONROE, NY 10950-5222
(845) 492-0718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065798
PA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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