Petricone, William R

Petricone, William R is an individual health care provider with primary practice located at 1427 Vine St Sixth Floor, Philadelphia PA 19102-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Petricone, William R can be contacted via phone (215) 762-6565.

Contact Information

Primary practice address
1427 Vine St Sixth Floor Philadelphia PA 19102-1031
Phone: (215) 762-6565
Fax: (215) 762-6997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD434949 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD434948 Pennsylvania

Profile Details

NPI number 1033182662
LBN Legal business name Petricone, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 29th, 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 1033182662 NPPES
Connecticut MEDICAID 001367483

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