Individual
DANIEL PETRONZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 SOHIER RD, BEVERLY, MA 01915-5534
(857) 293-9577
Mailing address
595 CABOT ST, BEVERLY, MA 01915-5534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124257
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932
NON-BILLING PROVIDER
MA
Enumeration date
05/28/2021
Last updated
08/27/2022
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