Organization
RIDGEWOOD ASSOCIATES IN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY P. PETRILLO PA-C (BUSINESS MANAGER)
(802) 886-2526
Entity
Organization
Contact information
Practice address
368 RIVER ST, SPRINGFIELD, VT 05156-2242
(802) 886-2526
(802) 886-2225
Mailing address
368 RIVER ST, SPRINGFIELD, VT 05156-2242
(802) 886-2526
(802) 886-2225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006033
—
VT
05
—
99006033
—
NH
Enumeration date
06/09/2006
Last updated
11/19/2008
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