Petruzzo, Christine A

Petruzzo, Christine A is an individual health care provider with primary practice located at 110 Liberty Street , Brockton MA 02301-5521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Petruzzo, Christine A can be contacted via phone (508) 894-0400.

Contact Information

Primary practice address
110 Liberty Street Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 211695 Massachusetts

Profile Details

NPI number 1831174440
LBN Legal business name Petruzzo, Christine A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Dec 15th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831174440 NPPES
Massachusetts MEDICAID 0324451

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