Individual
MR. JEFFREY PATRICK PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1330 POWELL ST, NORRISTOWN, PA 19401-3353
(610) 270-2717
Mailing address
133 FLINT DR, HARLEYSVILLE, PA 19438-1862
(215) 513-9333
(215) 513-0118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN317474L/52264
PA
Other
Enumeration date
01/22/2006
Last updated
07/08/2007
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