Marjorie Grace Petro in Willimantic - Internal Medicine
Marjorie Grace Petro - NPI 1760676100
Marjorie Grace Petro is a Internal Medicine in Willimantic, Connecticut. Marjorie Grace Petro practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marjorie Grace Petro is 1760676100. The last update date is 2007-08-29.
Marjorie Grace Petro's current location address is 37 Ivan Hill St, Willimantic, Connecticut. You can contact this provider via phone number 8604239764 and fax number 8604239866. The mailing address for Marjorie Grace Petro is 37 Ivan Hill St, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marjorie Grace Petro |
|---|---|
| Address | 37 Ivan Hill St, Willimantic, Connecticut |
| Phone Number | 8604239764 |
| Fax Number | 8604239866 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760676100 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 37 Ivan Hill St |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262001 |
| Phone Number | 8604239764 |
| Fax Number | 8604239866 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 19844 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marjorie Grace Petro by the Centers for Medicare & Medicaid Services?
The Marjorie Grace Petro has been issued the NPI (National Provider Identifier) 1760676100 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Marjorie Grace Petro is located?
The Marjorie Grace Petro is situated at the following address: 37 Ivan Hill St, Willimantic, CT, 62262001.
What is Marjorie Grace Petro's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marjorie Grace Petro is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
When was the Marjorie Grace Petro's 1760676100 issued?
The Marjorie Grace Petro's 1760676100 was issued on 2007-08-29.
As of what date was the information pertaining to Marjorie Grace Petro, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marjorie Grace Petro, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC