Individual
STEPHANIE PETKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1 INNOVATION DR, BIOTECH 3, WORCESTER, MA 01605-4307
(508) 334-1000
Mailing address
1 INNOVATION DR, BIOTECH 3, WORCESTER, MA 01605-4307
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
263902
MA
Other
Enumeration date
04/09/2015
Last updated
06/07/2015
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