Individual
DR. JAMESON MOORE PETROCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 OSTRUM ST STE 202, FOUNTAIN HILL, PA 18015-1152
(484) 526-2200
Mailing address
701 OSTRUM ST STE 202, FOUNTAIN HILL, PA 18015-1152
(484) 526-2200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT220236
PA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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