Individual
JUSTIN J PETROLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 OXFORD DR, SUITE 211, BETHEL PARK, PA 15102-1827
(412) 283-0260
(412) 283-0700
Mailing address
2000 OXFORD DR, SUITE 211, BETHEL PARK, PA 15102-1827
(412) 283-0260
(412) 283-0700
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD433757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026307660001
—
PA
Enumeration date
06/26/2007
Last updated
01/26/2017
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