Individual
JOHN PETOLILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
240 MIDDLETOWN BLVD, SUITE 101D, LANGHORNE, PA 19047-1832
(215) 750-6700
(215) 750-6700
Mailing address
240 MIDDLETOWN BLVD, SUITE 101D, LANGHORNE, PA 19047-1832
(215) 750-6700
(215) 750-6700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS008198L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200044351
TRAVELERS MEDICARE
PA
Enumeration date
07/28/2005
Last updated
04/12/2011
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