Individual
MICHAEL PETRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE STREET, 1 SILVERSTEIN, SUITE 130, PHILADELPHIA, PA 19104
(215) 662-6918
(215) 662-2664
Mailing address
3400 SPRUCE STREET, 1 SILVERSTEIN, SUITE 130, PHILADELPHIA, PA 19104
(215) 662-6918
(215) 662-2664
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
MT223806
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
07/29/2021
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