Mr. Andrew G Petlock, PA
Physician Assistant in Hudson, Massachusetts
1972381077- Practice location
- 1 Cabot RD Ste 101, Hudson, MA 01749-2963
- Phone
- 978-562-3536
- Fax
- 978-562-4626
- Last updated
- October 1, 2024
Andrew G Petlock is a Physician Assistant based in Hudson, MA. Andrew G Petlock practices in Hudson, MA and has the professional credentials of PA. The NPI Number for Andrew G Petlock is 1972381077. The current practice location address for Andrew G Petlock is 1 Cabot RD Ste 101, Hudson, MA 01749-2963 and can be reached out via phone at 978-562-3536 and via fax at 978-562-4626.
Provider Profile Details
- NPI Number
- 1972381077
- Provider Name
- Andrew G Petlock
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Cabot RD Ste 101, Hudson, MA 01749-2963
- Phone Number
- 978-562-3536
- Fax Number
- 978-562-4626
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 19, 2023
- Last Update Date
- October 1, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Cabot RD Ste 101
Hudson, MA 01749-2963 - City
- Hudson
- State
- Massachusetts
- Zip
- 01749-2963
- Phone Number
- 978-562-3536
- Fax Number
- 978-562-4626
Provider Business Mailing Address Details
- Address
- 171 Main St Ste 203B
Ashland, MA 01721-1187 - City
- Ashland
- State
- MA
- Zip
- 01721-1187
- Phone Number
- 508-881-3029
- Fax Number
- 508-881-1752
License Information
- 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 Mr. Andrew G Petlock, PA?
The NPI number of Mr. Andrew G Petlock, PA is 1972381077. It was assigned on September 19, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Andrew G Petlock, PA?
Mr. Andrew G Petlock, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Mr. Andrew G Petlock, PA practice?
The practice location is 1 Cabot RD Ste 101, Hudson, MA 01749-2963. The office can be reached at 978-562-3536 (phone) or 978-562-4626 (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 1972381077 directly on the NPPES registry website.