Individual
RICHARD A PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 OLD ROLLINSFORD RD, STE 4, DOVER, NH 03820
(603) 742-3243
(603) 742-4534
Mailing address
17 OLD ROLLINSFORD RD, STE 4, DOVER, NH 03820
(603) 742-3243
(603) 742-4534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4870
NH
207RC0000X
Cardiovascular Disease Physician
4870
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138760000
—
ME
05
—
82063770
—
NH
Enumeration date
10/31/2006
Last updated
01/26/2016
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