Marco Petrazzuoli, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

048179 Issued in CT

Practice address

849 Boston Post Rd
Suite 300
Milford, CT 06460-3537

Phone

(203) 301-5860

Fax

(203) 301-5861

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul Fischer MD P.C.

  • Plastic Surgery Physician
  • Milford, CT
  • NPI 1972838480
  Medicare reassignment NPD
• Patch Testing Centers of Excellence- Milford

  • Clinical & Laboratory Dermatological Immunology Physician
  • Milford, CT
  • NPI 1548687437
  NPD (past) Authorized official
• Adams Street Dermatology Assoc, PC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1164693289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1023057114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "SUITE 300",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-301-5860",
            "fax_number": "203-301-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BOSTON POST RD",
            "address_2": "SUITE 300",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603537",
            "telephone_number": "203-301-5860",
            "fax_number": "203-301-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAZZUOLI",
        "first_name": "MARCO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "048179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn K. Persson, M.S.
• Louann Perugini, NURSE PRACTITIONER
• Peter T. Naiman MD LLC
• Maria Kristina Petersen, LCSW
• Michael Daniel Petras II, LMFT
• Kathleen Petrillo, CRNA
• George Petronio, LCSW
• Diana Lynn Phaneuf, LPC
• Pharmatiya Healthcare (Pharmatiya Health)
• James E Phillips, MD

• Dermatology Physician in Milford, CT
• Providers in Milford, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.