Individual
ALFRED PETROCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5547
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G32082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G320820
MEDICAL
CA
Enumeration date
01/19/2006
Last updated
01/25/2012
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