Individual
DR. EDWARD J PETRELLA
Active
Individual
DR. EDWARD J PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02335200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069675000
AMERIHEALTH
—
01
—
0804225
AETNA
—
01
—
1089884
HORIZON NJ HEALTH
—
05
—
1161407
—
NJ
01
—
1243590
UNITED HEALTHCARE
—
01
—
300047117
RAILROAD MEDICARE
—
01
—
A3738029
OXFORD HEALTH
—
01
—
PE000869
PREMIER BLUE
—
Enumeration date
07/19/2005
Last updated
11/27/2007
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