Dr Allyson Anne Petosa, CRNP | |
401 W Allegheny Ave, Philadelphia, PA 19133-3644 | |
(215) 291-2500 | |
Not Available |
Full Name | Dr Allyson Anne Petosa |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 401 W Allegheny Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003520628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP026731 (Pennsylvania) | Primary |
Entity Name | Delaware Valley Community Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386864502 PECOS PAC ID: 8426967175 Enrollment ID: O20040617001033 |
Mailing Address | Practice Location Address |
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Dr Allyson Anne Petosa, CRNP 2801 Aspen Cir, Blue Bell, PA 19422-3402 Ph: (315) 200-2253 | Dr Allyson Anne Petosa, CRNP 401 W Allegheny Ave, Philadelphia, PA 19133-3644 Ph: (215) 291-2500 |
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