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Contact Information

MARK L PETRARCA, DO
455 TOLL GATE RD
WARWICK, RI02886-2759
 Phone: 401-737-7010
 Fax: 401-453-7597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK L PETRARCA · (Male)

NPI # 1548499668
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/10/2009
Last updated 10/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 16048
  • RI License # LP01618
Hospital affiliation(s)
  • ELLIOT HOSPITAL - (Acute Care)
    1 ELLIOT WAY
    MANCHESTER, NH 03103
  • PORTSMOUTH REGIONAL HOSPITAL - (Acute Care)
    333 BORTHWICK AVE
    PORTSMOUTH, NH 03801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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