Individual
ROBERT WILLIAM PETRUSO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
937 PARK AVE, MEADVILLE, PA 16335-3334
(814) 724-6211
(814) 337-0188
Mailing address
14470 HARMONSBURG RD, MEADVILLE, PA 16335-8760
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
346
OK
231H00000X
Audiologist
A01527
OH
231H00000X
Audiologist
Primary
AT005853
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375162
ANTHEM BC/BS
OH
05
—
0015214050001
—
PA
01
—
219759
HIGHMARK BC/BS
PA
01
—
251916413
UNITED HEALTHCARE
OH
01
—
314148
UPMC
PA
Enumeration date
05/16/2006
Last updated
05/12/2008
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