Individual
MR. ROBERT WILLIAM PETRUSO
Active
Individual
MR. ROBERT WILLIAM PETRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
F02267
PA
237700000X
Hearing Instrument Specialist
Primary
F02267
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01943398
—
PA
Enumeration date
01/18/2007
Last updated
04/01/2008
Update your record
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