Mr Andrew G Petlock, | |
5 Joseph Rd, Northborough, MA 01532-2353 | |
(508) 768-5571 | |
Not Available |
Full Name | Mr Andrew G Petlock |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 5 Joseph Rd, Northborough, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972381077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Andrew G Petlock, 716 Stevens Ave, Portland, ME 04103-2656 Ph: (207) 221-4225 | Mr Andrew G Petlock, 5 Joseph Rd, Northborough, MA 01532-2353 Ph: (508) 768-5571 |
Mackenzie Elizabeth Winslow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 318 Main St, Northborough, MA 01532 Phone: 508-936-1657 | |
Michelle Jacques, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33 Milk Porridge Cir, Northborough, MA 01532 Phone: 516-241-5183 | |
Mrs. Kate Ann Gagnon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 318 Main Street, Suite 165, Northborough, MA 01532 Phone: 508-936-1657 Fax: 888-355-3778 |