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NPI Code Detail

MEDICARE: MS. JOSEPHINE E PETRO R.D.

MEDICARE: MS. JOSEPHINE E PETRO R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN001739PA

General Provider Information

NPI Number : 1184723272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOSEPHINE E PETRO R.D.
Provider Business Mailing Address
First Line : 15 FOREST HILLS RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-3707
Country : US
Telephone Number : 412-247-5504
Fax Number :
Provider Business Practice Location Address
First Line : 7180 HIGHLAND DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1206
Country : US
Telephone Number : 412-365-4429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JOSEPHINE E PETRO R.D.” Practice Location

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