Individual
JAMES J PETRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2928 MAIN ST, GLASTONBURY, CT 06033-1007
(860) 657-8289
Mailing address
2928 MAIN ST, GLASTONBURY, CT 06033-1007
(860) 657-8289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031846
CT
2083X0100X
Occupational Medicine Physician
31846
CT
Other
Enumeration date
03/08/2007
Last updated
06/04/2013
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