Organization
JOHN P PETTINE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P PETTINE MD (PRESIDENT)
(610) 821-5700
Entity
Organization
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 220, ALLENTOWN, PA 18103-6372
(610) 821-5700
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD066467L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02355000
CAPITAL
PA
01
—
1329460
IBC
PA
01
—
2633444
AETNA
PA
Enumeration date
07/22/2006
Last updated
08/22/2020
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