Individual
EDWIN PETROSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G81847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G818470
—
CA
Enumeration date
07/21/2006
Last updated
01/13/2010
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