Individual
DR. ROBERT K PETRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 NEW JERSEY AVE, NORTH WILDWOOD, NJ 08260-2738
(609) 522-4199
(609) 522-3692
Mailing address
1400 NEW JERSEY AVE, NORTH WILDWOOD, NJ 08260-2738
(609) 522-4199
(609) 522-3692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ3013
NJ
152W00000X
Optometrist
PA-OE004707L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097739000
AMERIHEALTH
NJ
05
—
2400901
—
NJ
01
—
455040
U.S. HEALTHCARE
NJ
Enumeration date
07/01/2005
Last updated
07/08/2007
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