Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Petner, PA-C

Individual provider Physician Assistant · NPI 1679545750

Gary Petner, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2006.

Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2757 N 5th St
Philadelphia, PA 19133-2700
Phone: (215) 839-9661
Fax: (215) 309-3533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051206 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00106100 (NJ)

Record details

NPI number1679545750
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

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