Individual
CHRISTINE A PETRUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY STREET, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0523
Mailing address
110 LIBERTY STREET, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211695
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324451
—
MA
Enumeration date
12/07/2005
Last updated
12/15/2015
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