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Anita Petruzzelli MD PC

Specialist in Glastonbury, CT. Organization (NPI-2).

NPI number1992003792
StatusActive
Last updated in NPPESMar 3, 2011

Details

NPI
1992003792
Entity type
Organization (NPI-2)
Legal business name
Anita Petruzzelli MD PC
Organization subpart
No
Enumeration date
Mar 3, 2011
Last updated
Mar 3, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist034143CTYes

Practice location

701 Hebron Ave
Glastonbury, CT 06033-2489

Phone 800-959-2758

Mailing address

701 Hebron Ave
Glastonbury, CT 06033-2489

Phone 800-959-2758

Authorized official

Anita Petruzzelli
President
8009592758

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Other Specialist providers in Glastonbury, CT

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