# MARIAN PETRIDES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841244050
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 042-0006038 | VT | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 042-0006038 | VT | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 03/01/2012