Individual
JANE VERONICA PETROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 NORTH ST STE 216, DANBURY, CT 06810-5627
(203) 797-9209
(203) 748-7692
Mailing address
57 NORTH ST STE 216, DANBURY, CT 06810-5627
(203) 797-9209
(203) 748-7692
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
022321
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001223213
—
CT
Enumeration date
07/10/2006
Last updated
12/11/2007
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