Individual
CLAUDIA M PETRUNCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3 MARCELA DR, WILLITS, CA 95490-5769
(707) 459-6115
(856) 429-3794
Mailing address
3 MARCELA DR, WILLITS, CA 95490-5769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15732
CA
207R00000X
Internal Medicine Physician
25MB04695500
NJ
207R00000X
Internal Medicine Physician
OS005158
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201290120
—
NJ
01
—
DO44603
CDS
—
Enumeration date
06/15/2006
Last updated
03/07/2023
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