Brad Petitti, PA
Physician Assistant in Meriden, Connecticut
1912428202- Practice location
- 61 Pomeroy Ave, Meriden, CT 06450-7482
- Phone
- 203-694-5350
- Fax
- —
- Last updated
- June 28, 2017
Brad Petitti is a Physician Assistant based in Meriden, CT. Brad Petitti practices in Meriden, CT and has the professional credentials of PA. The NPI Number for Brad Petitti is 1912428202 and holds a License No. 3852 (CT). The current practice location address for Brad Petitti is 61 Pomeroy Ave, Meriden, CT 06450-7482 and can be reached out via phone at 203-694-5350.
Provider Profile Details
- NPI Number
- 1912428202
- Provider Name
- Brad Petitti
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 61 Pomeroy Ave, Meriden, CT 06450-7482
- Phone Number
- 203-694-5350
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 28, 2017
- Last Update Date
- June 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Pomeroy Ave
Meriden, CT 06450-7482 - City
- Meriden
- State
- Connecticut
- Zip
- 06450-7482
- Phone Number
- 203-694-5350
Provider Business Mailing Address Details
- Address
- 437 W Rutland RD
Milford, CT 06461-2449 - City
- Milford
- State
- CT
- Zip
- 06461-2449
License Information
- License Number
- 3852
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · 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 Brad Petitti, PA?
The NPI number of Brad Petitti, PA is 1912428202. It was assigned on June 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Brad Petitti, PA?
Brad Petitti, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 3852.
Where does Brad Petitti, PA practice?
The practice location is 61 Pomeroy Ave, Meriden, CT 06450-7482. The office can be reached at 203-694-5350 (phone).
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 1912428202 directly on the NPPES registry website.