Dr. Kathleen M Petillo, DO
Pediatrics in North Easton, Massachusetts
1093949232- Practice location
- 31 Roche Bros Way, North Easton, MA 02356
- Phone
- 508-894-8760
- Fax
- 508-894-8762
- Last updated
- July 23, 2019
Kathleen Marie Petillo is a Pediatrics based in North Easton, MA. Kathleen Marie Petillo practices in North Easton, MA and has the professional credentials of DO. The NPI Number for Kathleen Marie Petillo is 1093949232 and holds a License No. 253293 (MA). The current practice location address for Kathleen Marie Petillo is 31 Roche Bros Way, North Easton, MA 02356 and can be reached out via phone at 508-894-8760 and via fax at 508-894-8762.
Provider Profile Details
- NPI Number
- 1093949232
- Provider Name
- Kathleen Marie Petillo
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Roche Bros Way, North Easton, MA 02356
- Phone Number
- 508-894-8760
- Fax Number
- 508-894-8762
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2009
- Last Update Date
- July 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Roche Bros Way
North Easton, MA 02356 - City
- North Easton
- State
- Massachusetts
- Zip
- 02356
- Phone Number
- 508-894-8760
- Fax Number
- 508-894-8762
Provider Business Mailing Address Details
- Address
- 31 Roche Bros Way
North Easton, MA 02356-1032 - City
- North Easton
- State
- MA
- Zip
- 02356-1032
- Phone Number
- 508-894-8760
- Fax Number
- 508-894-8762
License Information
- License Number (1)
- 253293
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 263552
- License State (2)
- NY
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near North Easton, MA
View all Pediatrics providers in North Easton →Frequently Asked Questions
What is the NPI number of Dr. Kathleen M Petillo, DO?
The NPI number of Dr. Kathleen M Petillo, DO is 1093949232. It was assigned on May 1, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Kathleen M Petillo, DO?
Dr. Kathleen M Petillo, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 253293.
Where does Dr. Kathleen M Petillo, DO practice?
The practice location is 31 Roche Bros Way, North Easton, MA 02356. The office can be reached at 508-894-8760 (phone) or 508-894-8762 (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 1093949232 directly on the NPPES registry website.