Individual provider · Type 1 NPI

Mary A. C. Petrellese, BSW

Student in an Organized Health Care Education/Training Program · Danbury, CT

NPI number 1356651475 Active

Practice location

30 Main St, Suite 503
Danbury, CT 06810-3040

Call (203) 743-4412 Map

Fax (203) 744-3500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356651475

Mary A. C. Petrellese, BSW's National Provider Identifier is 1356651475, issued on Oct 8, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danbury, CT. The record was last updated on Oct 8, 2010.