Organization · Type 2 NPI
Robert K. Petrelli, Od
Customized Equipment (DME) · North Wildwood, NJ
NPI number
1083896153
Active
Practice location
1400 New Jersey Ave
North Wildwood, NJ 08260-2738
Fax (609) 522-3692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | NJ3013 (NJ) |
| Customized Equipment (DME) | 332BC3200X | PA-OE004707L (PA) |
Customized Equipment (DME): Definition to come...
2 other providers at this address
About NPI 1083896153
Robert K. Petrelli, Od's National Provider Identifier is 1083896153, issued on Nov 30, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in North Wildwood, NJ. The record was last updated on Dec 4, 2007.