Individual
DR. JOHN CHRISTOPHER PETROZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 10 VINCENT OB/GYN- REPRODUCTIVE MED & IVF, BOSTON, MA 02114-2621
(617) 726-8868
(617) 724-8882
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8868
(617) 724-8882
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
79449
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079449
TUFTS HEALTH PLAN
MA
05
—
3132609
—
MA
01
—
J30948
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
11/16/2012
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