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Individual

DR. FRANK D. PETRUZELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-0966
(804) 628-0384
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0101247200
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992758544
CMMG NPI
IL
05
34900100
WI
Enumeration date
05/25/2006
Last updated
03/07/2023
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