Individual
DR. JEFFREY ROBERT PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
97-01542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891059F
—
NC
Enumeration date
10/05/2006
Last updated
11/06/2023
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