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Contact Information

BRAD PETITTI, PA
61 POMEROY AVE
MERIDEN, CT06450-7482
 Phone: 203-694-5350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRAD PETITTI · (Male)

NPI Number 1912428202
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/28/2017
Last updated 06/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3852
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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