Organization
ROSELLE C. PETTORINO MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE C. PETTORINO MD, PA (GENERAL SURGEON)
(956) 541-6311
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD STE 300, BROWNSVILLE, TX 78520-7539
(956) 541-6311
(956) 541-6387
Mailing address
864 CENTRAL BLVD STE 300, BROWNSVILLE, TX 78520-7539
(956) 541-6311
(956) 541-6387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K8420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029740001
—
TX
05
—
212330901
—
TX
Enumeration date
03/23/2010
Last updated
11/29/2023
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