Individual
DR. JOHN PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6662
Mailing address
PO BOX 64767, BALTIMORE, MD 21264-4767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14372
MD
1223G0001X
General Practice Dentistry
22D101047801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693701
—
NJ
Enumeration date
06/23/2006
Last updated
01/08/2013
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