Individual
DR. MARC PETRONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1439 E PASSYUNK AVE, PHILADELPHIA, PA 19147-5610
(215) 755-2869
(215) 755-4886
Mailing address
1439 E PASSYUNK AVE, PHILADELPHIA, PA 19147-5610
(215) 755-2869
(215) 755-4886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS008584L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118160810104
—
PA
Enumeration date
05/08/2006
Last updated
07/08/2007
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