MARK J PETRUZZIELLO

VIDANT MEDICAL GROUP LLC

Dr MARK J PETRUZZIELLO is a male medical professional, specializing in General Surgery. He graduated in 1992.

Contact

VIDANT MEDICAL GROUP LLC

101 CLINIC DR
TARBORO
NC
278861935

Tel: 2528232105

MARK J PETRUZZIELLO Information

Npi 1336129535
Pac Id 9739269101
Professional Enrollment Id I20091221000480
Last Name PETRUZZIELLO
First Name MARK
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1992
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name VIDANT MEDICAL GROUP LLC
Group Practice Pac Id 0345343893
Number Of Group Practice Members 645
Line 1 Street Address 101 CLINIC DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TARBORO
State NC
Zip Code 278861935
Phone Number 2528232105
Hospital Affiliation Ccn 1 340107
Hospital Affiliation Lbn 1 VIDANT EDGECOMBE HOSPITAL
Hospital Affiliation Ccn 2 340040
Hospital Affiliation Lbn 2 VIDANT MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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