Individual
MR. ALFRED PETRIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 569-4200
(617) 569-4200
Mailing address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 569-4200
(617) 569-4202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306240
—
MA
Enumeration date
10/12/2006
Last updated
07/29/2010
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