Individual
DR. PETER B TREVOULEDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 SHADY LN STE 202, MUNCY, PA 17756-8807
(570) 546-3633
(570) 546-3663
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD061452L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016319440003
—
PA
Enumeration date
07/11/2006
Last updated
03/10/2022
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