Kimberly A Petruso DO

NPI 1043285703 - Family Medicine - 207Q00000X

NPI Details
NPI 1043285703
Gender Female
Enumeration Date 02/17/2006
Last Updated 10/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
23 N WALNUT ST
BOYERTOWN PA, 19512-1467, US
Phone (610) 367-2259
Fax (610) 367-0505
Business Location
23 N WALNUT ST
BOYERTOWN PA, 19512-1467, US
Phone (610) 367-2259
Fax (610) 367-0505
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS009953L
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According to our database, Kimberly A Petruso DO NPI is 1043285703, taxonomy code is 207Q00000X and license number is OS009953L, license state is located at Pennsylvania. Kimberly A Petruso DO physically located at 23 N Walnut St, Boyertown PA, 19512-1467. NPI Number Kimberly A Petruso DO has the Individual type.

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1043285703 NPI number is provided on an as is basis without warranty of any kind. 1043285703 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Petruso DO are for informational purposes only.