Individual
JOHN P PETTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2649 SCHOENERSVILLE RD, SUITE 201, BETHLEHEM, PA 18017-7326
(610) 868-6880
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(610) 798-4500
(610) 798-4699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD066467L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017371000
KEYSTONE EAST
PA
01
—
2263803
AETNA
PA
01
—
434825
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/26/2006
Last updated
01/05/2010
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