Robert K. Petrelli, Od in North Wildwood - Customized Equipment
Robert K. Petrelli, Od - NPI 1083896153
Robert K. Petrelli, Od is a Customized Equipment in North Wildwood, New Jersey. Robert K. Petrelli, Od practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Robert K. Petrelli, Od is 1083896153. The last update date is 2007-12-04.
Robert K. Petrelli, Od's current location address is 1400 New Jersey Ave, North Wildwood, New Jersey. You can contact this provider via phone number 6095224199 and fax number 6095223692. The mailing address for Robert K. Petrelli, Od is 1400 New Jersey Ave, North Wildwood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert K. Petrelli, Od |
|---|---|
| Address | 1400 New Jersey Ave, North Wildwood, New Jersey |
| Phone Number | 6095224199 |
| Fax Number | 6095223692 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Petrelli K Robert |
| Credentials | D.O. |
| Telephone Number | 6095224199 |
NPI Number Detail
| NPI Number | 1083896153 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 1400 New Jersey Ave |
|---|---|
| City | North Wildwood |
| State | New Jersey (NJ) |
| Post Code | 82602738 |
| Phone Number | 6095224199 |
| Fax Number | 6095223692 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | PA-OE004707L |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97739000 | NJ | AMERIHEALTH | |
| 2400901 | NJ | -- | |
| 455040 | NJ | AETNA |
Post Comment/ Review Below
What is the Robert K. Petrelli, Od's unique identification number?
The Robert K. Petrelli, Od has been assigned the NPI (National Provider Identifier) Number 1083896153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Robert K. Petrelli, Od?
The Robert K. Petrelli, Od is situated at 1400 New Jersey Ave, in the city of North Wildwood, state of NJ, with the zip code 82602738.
What is Robert K. Petrelli, Od's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert K. Petrelli, Od is Customized Equipment, and the taxonomy code that categorizes this field of expertise is 332Bc3200X.
On what date did the Robert K. Petrelli, Od receive the assignment of its 1083896153 from the Centers for Medicare & Medicaid Services?
The Robert K. Petrelli, Od was issued its 1083896153 by the Centers for Medicare & Medicaid Services on 2007-11-30.
When was the information pertaining to Robert K. Petrelli, Od most recently updated or revised?
The details related to Robert K. Petrelli, Od, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-04.