EDMUND S PETRILLI M.D. NPI 1154323004

NPI Information

NPI: 1154323004
Provider Name: EDMUND S PETRILLI, M.D.
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
9304 FOREST POINT CIR
MANASSAS, VA
ZIP 20110
Phone: (703) 368-1969
Get Directions

Edmund S Petrilli, M.D. is a gynecologic oncology obstetrics gynecology in Manassas, VA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Edmund S Petrilli, M.D. NPI is 1154323004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9304 FOREST POINT CIR
MANASSAS, VA
ZIP 20110-700
Phone: (703) 368-1969
Fax: (703) 369-4164

The NPI 1154323004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 10/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	0101022700	VIRGINIA	No
2	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	0101022700	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C35984	MEDICARE UPIN	VIRGINIA
2	00V387E05	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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