Individual
DR. PAOLO B DEPETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5204 SANGAMORE RD, BETHESDA, MD 20816-2322
(301) 320-8648
(301) 320-0529
Mailing address
5204 SANGAMORE RD, BETHESDA, MD 20816-2322
(301) 320-8648
(301) 320-0529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54557
MA
208U00000X
Clinical Pharmacology Physician
Primary
54557
MA
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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