Petrolla, Justin J

Petrolla, Justin J is an individual health care provider with primary practice located at 2000 Oxford Dr Suite 211, Bethel Park PA 15102-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Petrolla, Justin J can be contacted via phone (412) 283-0260.

Contact Information

Primary practice address
2000 Oxford Dr Suite 211 Bethel Park PA 15102-1827
Phone: (412) 283-0260
Fax: (412) 283-0700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD433757 Pennsylvania

Profile Details

NPI number 1932305893
LBN Legal business name Petrolla, Justin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jan 26th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932305893 NPPES
Pennsylvania MEDICAID 1026307660001

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