Individual provider · Type 1 NPI

Olivia Petrasek, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1558197350 Active

Practice location

800 Washington Ave
Philadelphia, PA 19147-4717

Call (215) 339-5100 Map

Mailing address

1401 S 31st St Fl 2
Philadelphia, PA 19146-3506

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA065871 (PA)
Medical Physician Assistant Primary 363AM0700XMA065871 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1558197350

Olivia Petrasek, PA-C's National Provider Identifier is 1558197350, issued on Sep 10, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 25, 2024.