Individual
PHILIP PETRUCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
4471 RIVERVIEW LN, PHILADELPHIA, PA 19129-1781
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT213299
PA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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