MEDICARE: DR. VICTORIA MOREY PETTY MD

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
1	207V00000X	Obstetrics & Gynecology Physician	MD060891L	PA

General Provider Information

NPI Number	:	1346246725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA MOREY PETTY MD

Provider Business Mailing Address
First Line	:	2325 HERITAGE CENTER DR STE 317
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1262
Country	:	US
Telephone Number	:	215-874-4200
Fax Number	:	215-918-8808

Provider Business Practice Location Address
First Line	:	2325 HERITAGE CENTER DR STE 317
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1262
Country	:	US
Telephone Number	:	215-874-4200
Fax Number	:	215-918-8808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/20/2025

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