Individual
SARAH ELIZABETH PETRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1251 S CEDAR CREST BLVD STE 109, ALLENTOWN, PA 18103-6205
(610) 434-2162
(610) 434-9370
Mailing address
1251 S CEDAR CREST BLVD STE 109, ALLENTOWN, PA 18103-6205
(610) 434-2162
(610) 434-9370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032004100001
—
PA
01
—
3056588
HIGHMARK
PA
01
—
50124934
CAPITAL BLUE CROSS
PA
Enumeration date
10/29/2011
Last updated
08/20/2024
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