D Fitzgerald M Petrelli Dmd Pc | |
112 Main Street Stoneham MA 02180 | |
(781) 438-1995 | |
(781) 438-6378 |
Full Name | D Fitzgerald M Petrelli Dmd Pc |
---|---|
Speciality | Dentist |
Location | 112 Main Street, Stoneham, Massachusetts |
Authorized Official Name and Position | Daniel B Fitzgerald (OWNER) |
Authorized Official Contact | 7814381995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
D Fitzgerald M Petrelli Dmd Pc 112 Main Street Stoneham MA 02180 Ph: (781) 438-1995 | D Fitzgerald M Petrelli Dmd Pc 112 Main Street Stoneham MA 02180 Ph: (781) 438-1995 |
NPI Number | 1376662619 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376662619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 014305 (Massachusetts) | Primary |
122300000X | Dentist | 016175 (Massachusetts) | Secondary |
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