Individual provider · Type 1 NPI
Christiane Marie Petrillo, PA-C
Medical Physician Assistant · Malvern, PA
NPI number
1912128653
Active
Practice location
266 Lancaster Ave
Malvern, PA 19355-3256
Fax (610) 644-7160
Mailing address
PO Box 34990
Belfast, ME 04915-0627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA003327L (PA) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Malvern
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- Nicole L. Luongo, PA-CMedical Physician Assistant Malvern, PA NPI 1770949901
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- Jamie I. Hill, PA-CMedical Physician Assistant Malvern, PA NPI 1932356896
About NPI 1912128653
Christiane Marie Petrillo, PA-C's National Provider Identifier is 1912128653, issued on May 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Malvern, PA. The record was last updated on Jun 24, 2024.