Individual
CARLY ANNE PETRONGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
925 CHESTNUT ST, FIFTH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Mailing address
925 CHESTNUT ST, FIFTH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN627139
PA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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