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Individual

MASSIMO ORONZO PETRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FRCSC

Contact information

Practice address
301 E 17TH ST RM 1402, NEW YORK, NY 10003-3804
(332) 209-8113
Mailing address
160 MADISON AVE APT 11J, NEW YORK, NY 10016-5483
(332) 209-8113

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
312354
NY

Other

Enumeration date
08/21/2021
Last updated
08/21/2021
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