Individual provider · Type 1 NPI

Gabriella Petrongolo, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1891372579 Active

Practice location

1015 Walnut St
Philadelphia, PA 19107-5005

Call (215) 955-8363 Map

Mailing address

1200 Old York Rd
Abington, PA 19001-3788

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401XOS023428 (PA)
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 1891372579

Gabriella Petrongolo, DO's National Provider Identifier is 1891372579, issued on Mar 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2024.