Petrera, Pasquale

Petrera, Pasquale is an individual health care provider with primary practice located at 1675 Woodbrooke Drive , Salisbury MD 21804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Petrera, Pasquale can be contacted via phone (410) 749-4154.

Contact Information

Primary practice address
1675 Woodbrooke Drive Salisbury MD 21804
Phone: (410) 749-4154
Fax: (410) 860-9583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X D44707 Maryland

Profile Details

NPI number 1215918933
LBN Legal business name Petrera, Pasquale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 6th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215918933 NPPES
Other 3226879 AETNA
MEDICAID 588841700 AETNA
Other 66G41 AETNA
MEDICAID 006400248 AETNA
Other 217742 AETNA
MEDICAID 0000575601 AETNA
Other 221921800 AETNA
Other 200022316 AETNA
Other 327279 AETNA
Other 52819001H524PE AETNA
Other 44707 AETNA
Other 0008W409 AETNA
Other 091051 AETNA

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