Peticca, Benjamin Bernard

Peticca, Benjamin Bernard is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 201 , Monroeville PA 15146-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Peticca, Benjamin Bernard can be contacted via phone (412) 856-7500.

Contact Information

Primary practice address
2580 Haymaker Rd Ste 201 Monroeville PA 15146-3500
Phone: (412) 856-7500
Fax: (412) 856-6079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD025238E Pennsylvania

Profile Details

NPI number 1790775013
LBN Legal business name Peticca, Benjamin Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 6th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790775013 NPPES
Pennsylvania MEDICAID 001022620

Popular Providers