Anthony Pasquale Petrillo in Springfield - Physician Assistant

Anthony Pasquale Petrillo - NPI 1306872312

Anthony Pasquale Petrillo is a Physician Assistant in Springfield, Vermont. Anthony Pasquale Petrillo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anthony Pasquale Petrillo is 1306872312. The last update date is 2011-12-13.

Anthony Pasquale Petrillo's current location address is Po Box 710, Springfield, Vermont. You can contact this provider via phone number 8028862526 and fax number 8028862225. The mailing address for Anthony Pasquale Petrillo is Po Box 710, Springfield, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Pasquale Petrillo
Address Po Box 710, Springfield, Vermont
Phone Number 8028862526
Fax Number 8028862225
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1306872312
Provider Enumeration Date 2006-06-23
Last Updated Date 2011-12-13

Provider Mailing Address Detail

Address Po Box 710
City Springfield
State Vermont (VT)
Post Code 51560710
Phone Number 8028862526
Fax Number 8028862225

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 055-0030018
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9000087 VT --

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FAQs about Anthony Pasquale Petrillo

What is the unique identification code assigned to Anthony Pasquale Petrillo by the Centers for Medicare & Medicaid Services?

The Anthony Pasquale Petrillo has been issued the NPI (National Provider Identifier) 1306872312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Anthony Pasquale Petrillo?

The Anthony Pasquale Petrillo is physically situated at Po Box 710, in the city of Springfield, state of VT, with the postal code 51560710.

What is the area of specialization for Anthony Pasquale Petrillo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Anthony Pasquale Petrillo is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306872312 to Anthony Pasquale Petrillo?

The Centers for Medicare & Medicaid Services originally issued the 1306872312 to Anthony Pasquale Petrillo on 2006-06-23.

As of what date were the Anthony Pasquale Petrillo's details last updated?

The information pertaining to the Anthony Pasquale Petrillo, including its address, specialty, and other details, was most recently updated on 2011-12-13.

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