Individual provider · Type 1 NPI

John Matthew Petela Jr., MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1750134581 Active

Practice location

525 E 68th St
New York, NY 10065-4870

Call (212) 746-5454 Map

Mailing address

18 Sweet Briar Dr
Clark, NJ 07066-2056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750134581

John Matthew Petela Jr., MD's National Provider Identifier is 1750134581, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 10, 2024.