# PETTERUTI FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417132549
- **Authorized official:** STEPHEN JOSEPH PETTERUTI D.O. (PRESIDENT)
- **Authorized official phone:** (401) 921-5934

## Contact information

- **Practice address:** 250 CENTERVILLE RD, BUILDING E, WARWICK, RI 02886-4382
- **Practice address phone:** (401) 921-5934
- **Practice address fax:** (401) 921-5936
- **Mailing address:** 250 CENTERVILLE RD, BUILDING E, WARWICK, RI 02886-4382
- **Mailing address phone:** (401) 921-5934
- **Mailing address fax:** (401) 921-5936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D413 | RI | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 12/22/2011