Individual
RICHARD L. PETRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3018 DIXWELL AVE, 2ND FLOOR, HAMDEN, CT 06518-3508
(203) 281-5800
Mailing address
3018 DIXWELL AVE, 2ND FLOOR, HAMDEN, CT 06518-3508
(203) 281-5800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
018775
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001187756
—
CT
Enumeration date
05/31/2006
Last updated
09/03/2010
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