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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA003327L (PA)

Medical Physician Assistant: Definition to come...

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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.