Organization
PETTERUTI FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOSEPH PETTERUTI D.O. (PRESIDENT)
(401) 921-5934
Entity
Organization
Contact information
Practice address
250 CENTERVILLE RD, BUILDING E, WARWICK, RI 02886-4382
(401) 921-5934
(401) 921-5936
Mailing address
250 CENTERVILLE RD, BUILDING E, WARWICK, RI 02886-4382
(401) 921-5934
(401) 921-5936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D413
RI
Other
Enumeration date
01/08/2008
Last updated
12/22/2011
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