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NPI Code Detail

MEDICARE: FAYE PETRILLO

MEDICARE:   FAYE  PETRILLO
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
1207V00000XObstetrics & Gynecology PhysicianOS024890PA

General Provider Information

NPI Number : 1952980617
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAYE PETRILLO
Provider Business Mailing Address
First Line : 3803 W CHESTER PIKE STE 160
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-2336
Country : US
Telephone Number : 484-337-1632
Fax Number :
Provider Business Practice Location Address
First Line : 1098 W BALTIMORE PIKE
Second Line : SUITE 3106, RIDDLE HEALTH CENTER 3
City : MEDIA
State : PA
Zip : 19063-5139
Country : US
Telephone Number : 610-891-6240
Fax Number : 610-891-6244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 04/02/2026

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Directions to “ FAYE PETRILLO ” Practice Location

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