DR. JOHN CHRISTOPHER PETROZZA MD NPI 1871574285

NPI Information

NPI: 1871574285
Provider Name: DR. JOHN CHRISTOPHER PETROZZA, MD
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
55 FRUIT ST
YAW 10 VINCENT OB/GYN- REPRODUCTIVE MED & IVF
BOSTON, MA
ZIP 02114
Phone: (617) 726-8868
Get Directions

DR. John Christopher Petrozza, MD is a reproductive endocrinology obstetrics gynecology in Boston, MA with 34 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. John Christopher Petrozza, MD NPI is 1871574285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1990

The provider's business location address is:

55 FRUIT ST
YAW 10 VINCENT OB/GYN- REPRODUCTIVE MED & IVF
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-8868
Fax: (617) 724-8882

The NPI 1871574285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 11/16/2012.

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	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	79449	MASSACHUSETTS	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	3132609	MEDICAID	MASSACHUSETTS
2	J30948	OTHER	MASSACHUSETTS	BCBS MA
3	F95576	MEDICARE UPIN
4	J30948	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	079449	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN

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: 4/28/2024

NPI Synchronization or Removal

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