Individual
DR. ROBERTO A DEPETRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14300 GALLANT FOX LANE, 122, BOWIE, MD 20715
(301) 464-0770
(301) 464-1155
Mailing address
14300 GALLANT FOX LANE, 122, BOWIE, MD 20715
(301) 464-0770
(301) 464-1155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D19252
MD
207RP1001X
Pulmonary Disease Physician
Primary
D19252
MD
Other
Enumeration date
09/28/2006
Last updated
09/11/2025
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