EDMUND STEPHEN PETRILLI M.D. P.C. NPI 1407037500

NPI Information

  • NPI: 1407037500
  • Provider Name: EDMUND STEPHEN PETRILLI, M.D., P.C.
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Address: 8650 SUDLEY RD
    SUITE 200
    MANASSAS, VA
    ZIP 20110
  • Phone: (703) 392-5157

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NPI Details

EDMUND STEPHEN PETRILLI, M.D., P.C. 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 STEPHEN PETRILLI, M.D., P.C. NPI is 1407037500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8650 SUDLEY RD
SUITE 200
MANASSAS, VA
ZIP 20110-419
Phone: (703) 392-5157
Fax: (703) 392-1347

The provider's authorized official is Edmund Stephen Petrilli .
The authorized official title is President and has the following contact phone number (703) 830-8403.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/19/2007.

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
1207VG0400XObstetrics & GynecologyGynecology0101022700VIRGINIANo
2207VX0201XObstetrics & GynecologyGynecologic Oncology0101022700VIRGINIAYes

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: 3/30/2025

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