Petrilli, Edmund S

Petrilli, Edmund S is an individual health care provider with primary practice located at 9304 Forest Point Cir , Manassas VA 20110-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Petrilli, Edmund S can be contacted via phone (703) 368-1969.

Contact Information

Primary practice address
9304 Forest Point Cir Manassas VA 20110-4700
Phone: (703) 368-1969
Fax: (703) 369-4164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 0101022700 Virginia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 0101022700 Virginia

Profile Details

NPI number 1154323004
LBN Legal business name Petrilli, Edmund S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 22nd, 2010 - about 14 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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