IndividualActive
Eric Petterson, MD
NPI 1245269547 · Addiction Medicine (Internal Medicine) Physician · Mahanoy City, PA
Provider details
- NPI number
- 1245269547
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD039636L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
411 W Pine St
Mahanoy City, PA 17948-2515
Phone: (570) 773-1101
Fax: (570) 773-1103
Approximate (ZIP-level) locationGet directions
Mailing address
411 W Pine St
Mahanoy City, PA 17948-2515
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.