Individual
DR. MARK W PETRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 NEW JERSEY AVE, WILDWOOD, NJ 08260-2738
(609) 522-4199
Mailing address
1400 NEW JERSEY AVE, WILDWOOD, NJ 08260-2738
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4625
PA
Other
Enumeration date
04/06/2006
Last updated
07/10/2007
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