Individual
DR. MARJORIE GRACE PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-9764
(860) 423-9866
Mailing address
37 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-9764
(860) 423-9866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19844
CT
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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