Individual
GABRIELLA PETRONGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1015 WALNUT ST, PHILADELPHIA, PA 19107-5005
(215) 955-8363
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3788
(215) 481-2000
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS023428
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
06/14/2024
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