Individual
DR. LAURA CATHERINE PETISHNOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-1800
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT234097
PA
Other
Enumeration date
05/26/2025
Last updated
10/16/2025
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