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Contact Information

KATHLEEN M PETILLO, DO
31 ROCHE BROS WAY
NORTH EASTON, MA02356
 Phone: 508-894-8760
 Fax: 508-894-8762
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN M PETILLO · (Female)

NPI Number 1093949232
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/01/2009
Last updated 07/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 253293
  • NY License # 263552
Hospital affiliation(s) Not Available
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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