Search › Pennsylvania › 103TC0700X
Alan Petroski, PHD
NPI 1265415921 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1264 Wyoming Ave
Forty Fort, PA 18704 - Phone
- (570) 288-8795
- Fax
- (570) 718-1786
- Organisation at this address
- Jeffrey Fremont Phd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania