Individual
CARLO JOHN PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
64 BEACON ST, C-306, WORCESTER, MA 01608-2264
(941) 284-1761
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
256551
MA
Other
Enumeration date
06/20/2013
Last updated
04/08/2017
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