Organization Name: | ROSELLE C. PETTORINO MD, PA |
NPI Number: | 1205150091 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSELLE C. PETTORINO (GENERAL SURGEON) |
Mailing Address: | 864 Central Blvd Ste 300 Brownsville |
State: | TX US |
Postal Code: | 785207539 |
Phone Number: | 9565416311 |
Fax Number: | 9565416387 |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K8420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |