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LOUIS D PETRELLIS DO LTD NPI 1134159312


NPI Information

NPI: 1134159312
Provider Name: LOUIS D PETRELLIS DO LTD

Doing Business As: RED LION FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
723 RED LION RD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 673-2522
Get Directions

LOUIS D PETRELLIS DO LTD is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOUIS D PETRELLIS DO LTD NPI is 1134159312. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Red Lion Family Practice.

The provider's business location address is:

723 RED LION RD
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 673-2522
Fax: (215) 677-1083

The provider's authorized official is Louis Daniel Petrellis .
The authorized official title is PRESIDENT PHYSICIANPhysician and has the following contact phone number (215) 673-2522.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0S006198LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101272990MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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