Individual
DR. JOHN RICHARD PETTINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
46 OBERY ST, PLYMOUTH, MA 02360-2237
(508) 210-5920
(508) 732-8935
Mailing address
46 OBERY ST, PLYMOUTH, MA 02360-2237
(508) 210-5920
(508) 732-8935
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
152555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30221273
—
NH
Enumeration date
10/11/2006
Last updated
02/24/2020
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