Individual
DR. ANTHONY PETRUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 E STONE AVE, GREENVILLE, SC 29609-5619
(864) 522-6500
(864) 522-6505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266779
NY
207R00000X
Internal Medicine Physician
Primary
87497
SC
208000000X
Pediatrics Physician
87497
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03887198
—
NY
05
—
874977
—
SC
Enumeration date
03/24/2010
Last updated
03/14/2024
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