Carol Petruff MD

NPI 1083691794 - Internal Medicine - 207RG0100X

NPI Details
NPI 1083691794
Gender Female
Enumeration Date 12/23/2005
Last Updated 11/03/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
44 DALE RD
PRIME HEALTHCARE
AVON CT, 06001-3612, US
Phone (860) 674-8830
Fax (860) 674-8984
Business Location
30 JORDAN LN
PRIME HEALTHCARE
WETHERSFIELD CT, 06109-1278, US
Phone (860) 263-0253
Fax (860) 263-0262
Toxanomy
Taxonomy Code 207RG0100X
License State Connecticut
License Number 033353
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According to our database, Carol Petruff MD NPI is 1083691794, taxonomy code is 207RG0100X and license number is 033353, license state is located at Connecticut. Carol Petruff MD physically located at 44 Dale Rd, Avon CT, 06001-3612. NPI Number Carol Petruff MD has the Individual type.

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1083691794 NPI number is provided on an as is basis without warranty of any kind. 1083691794 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Petruff MD are for informational purposes only.