Individual
CLAUDIO R PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 WEST AVE, NORWALK, CT 06850-3302
(203) 523-0100
(203) 523-0480
Mailing address
PO BOX 3150, WESTPORT, CT 06880-8150
(203) 523-0100
(203) 523-0480
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
024159
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001241596
—
CT
Enumeration date
05/18/2006
Last updated
05/20/2008
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