Active NPIIndividual providerSole proprietor

Dr. Raffaele A Petrosino, OD

Optometrist in Wakefield, Massachusetts

NPI Number1326072810
Practice location
22 Yale Ave, Wakefield, MA 01880-2309
Fax
781-245-7963
Last updated
January 11, 2010

Raffaele A Petrosino is an Optometrist based in Wakefield, MA. Raffaele A Petrosino practices in Wakefield, MA and has the professional credentials of OD. The NPI Number for Raffaele A Petrosino is 1326072810 and holds a License No. 3862 (MA). The current practice location address for Raffaele A Petrosino is 22 Yale Ave, Wakefield, MA 01880-2309 and can be reached out via phone at 781-245-1871 and via fax at 781-245-7963.

Provider Profile Details

NPI Number
1326072810
Provider Name
Raffaele A Petrosino
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
22 Yale Ave, Wakefield, MA 01880-2309
Phone Number
781-245-1871
Fax Number
781-245-7963
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2006
Last Update Date
January 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Yale Ave
Wakefield, MA 01880-2309
Zip
01880-2309
Phone Number
781-245-1871
Fax Number
781-245-7963
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
22 Yale Ave
Wakefield, MA 01880-2309
City
Wakefield
State
MA
Zip
01880-2309
Phone Number
781-245-1871
Fax Number
781-245-7963

License Information

License Number (2)
3862
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Raffaele A Petrosino, OD?

The NPI number of Dr. Raffaele A Petrosino, OD is 1326072810. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Raffaele A Petrosino, OD?

Dr. Raffaele A Petrosino, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3862.

Where does Dr. Raffaele A Petrosino, OD practice?

The practice location is 22 Yale Ave, Wakefield, MA 01880-2309. The office can be reached at 781-245-1871 (phone) or 781-245-7963 (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 1326072810 directly on the NPPES registry website.

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