Individual
DR. ROBERT JOHN PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1153 CENTRE ST, FAULKNER HOSPITAL EMERGENCY DEPARTMENT, BOSTON, MA 02130-3446
(617) 983-7700
Mailing address
103 SANBORN AVE, WEST ROXBURY, MA 02132-3834
(617) 323-6676
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75111
MA
207R00000X
Internal Medicine Physician
75111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075111
TUFTS
MA
05
—
3110613
—
MA
01
—
J13837
BLUE SHIELD
MA
Enumeration date
06/19/2006
Last updated
07/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us