David J Petullo, MD
Internal Medicine in Leominster, Massachusetts
1003890344- Practice location
- 60 Hospital RD, Leominster, MA 01453-2205
- Phone
- 978-466-4169
- Fax
- 978-466-4169
- Last updated
- October 27, 2020
David J Petullo is an Internal Medicine based in Leominster, MA. David J Petullo practices in Leominster, MA and has the professional credentials of MD. The NPI Number for David J Petullo is 1003890344 and holds a License No. 80754 (MA). The current practice location address for David J Petullo is 60 Hospital RD, Leominster, MA 01453-2205 and can be reached out via phone at 978-466-4169 and via fax at 978-466-4169.
Provider Profile Details
- NPI Number
- 1003890344
- Provider Name
- David J Petullo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Hospital RD, Leominster, MA 01453-2205
- Phone Number
- 978-466-4169
- Fax Number
- 978-466-4169
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2005
- Last Update Date
- October 27, 2020
- Certification Date
- October 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Hospital RD
Leominster, MA 01453-2205 - City
- Leominster
- State
- Massachusetts
- Zip
- 01453-2205
- Phone Number
- 978-466-4169
- Fax Number
- 978-466-4169
Provider Business Mailing Address Details
- Address
- 630 Plantation St
Wot Fl 12
Worcester, MA 01605 - City
- Worcester
- State
- MA
- Zip
- 01605
- Phone Number
- 508-368-5529
- Fax Number
- 508-368-5530
License Information
- License Number
- 80754
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of David J Petullo, MD?
The NPI number of David J Petullo, MD is 1003890344. It was assigned on November 30, 2005 and is currently active in the NPPES registry.
What is the specialty of David J Petullo, MD?
David J Petullo, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 80754.
Where does David J Petullo, MD practice?
The practice location is 60 Hospital RD, Leominster, MA 01453-2205. The office can be reached at 978-466-4169 (phone) or 978-466-4169 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003890344 directly on the NPPES registry website.