Individual
GARY PETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2757 N 5TH ST, PHILADELPHIA, PA 19133-2700
(215) 839-9661
(215) 309-3533
Mailing address
7040 TORRESDALE AVE, PHILADELPHIA, PA 19135-1915
(215) 605-5465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00106100
NJ
363A00000X
Physician Assistant
Primary
MA051206
PA
Other
Enumeration date
02/03/2006
Last updated
04/10/2025
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