Individual
SUSAN PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. ACUPUNCTURIST
Contact information
Practice address
977 PERRY HWY, PITTSBURGH, PA 15237-2172
(412) 242-6060
Mailing address
504 GREENDALE AVE, PITTSBURGH, PA 15218-1334
(412) 242-6060
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000728
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PE1799226
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/31/2007
Last updated
07/08/2007
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