Michael Petrucci MD

NPI 1609075811 - Radiology - 2085R0202X

NPI Details
NPI 1609075811
Gender Male
Enumeration Date 07/17/2007
Last Updated 10/22/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
8599 HAVEN AVE SUITE 300
RANCHO CUCAMONGA CA, 91730, US
Phone (949) 436-5867
Fax
Business Location
8599 HAVEN AVE SUITE 300
RANCHO CUCAMONGA CA, 91730, US
Phone (949) 436-5867
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State California
License Number A80806
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According to our database, Michael Petrucci MD NPI is 1609075811, taxonomy code is 2085R0202X and license number is A80806, license state is located at California. Michael Petrucci MD physically located at 8599 Haven Ave Suite 300, Rancho Cucamonga CA, 91730. NPI Number Michael Petrucci MD has the Individual type.

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1609075811 NPI number is provided on an as is basis without warranty of any kind. 1609075811 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Petrucci MD are for informational purposes only.