Individual
DR. MARK LEWIS PETRARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 453-7597
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 453-7597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16048
NH
390200000X
Student in an Organized Health Care Education/Training Program
LP01618
RI
Other
Enumeration date
07/10/2009
Last updated
10/31/2022
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