Individual
DR. KATHLEEN MARIE PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
31 ROCHE BROS WAY, NORTH EASTON, MA 02356
(508) 894-8760
(508) 894-8762
Mailing address
31 ROCHE BROS WAY, NORTH EASTON, MA 02356-1032
(508) 894-8760
(508) 894-8762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
253293
MA
208000000X
Pediatrics Physician
Primary
263552
NY
Other
Enumeration date
05/01/2009
Last updated
07/23/2019
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