Marianne Reed Petruccelli (NPI# 1326300914, PAC ID# 2264711753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1326300914 |
| PAC ID by PECOS | 2264711753 |
| Professional Enrollment ID | I20180416000779 |
| Full Name | Marianne Reed Petruccelli |
| Organization Legal Name | CONCORD IMAGING CENTER |
| Address |
248 Pleasant St Concord NH 03301-2548 |
| Phone Number | 6032250425 |
| Gender | F |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2466448030 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300001 | CONCORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 248 Pleasant St, Concord, NH 03301-2548 | 6032250425 | CONCORD IMAGING CENTER |
| 250 Pleasant St, Concord, NH 03301-2598 | 6032252711 | X-RAY PROFESSIONAL ASSOCIATION |
| 60 Commercial St, Concord, NH 03301-5071 | 6034159444 | CONCORD IMAGING CENTER |
| Organization Legal Name | CONCORD IMAGING CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Dimasi | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Herlen J Alencar | Interventional Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Ashley N Adamovich | Interventional Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Bryan T Suchecki | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Joseph S Pekala | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Joseph G Venus | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Elizabeth Clemente | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Daniel Tyler Zapton | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Constantine P Brocoum | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Anthony M Dinizio | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Street Address |
248 PLEASANT ST |
| City | CONCORD |
| State | NH |
| Zip | 03301-2548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Dimasi | Diagnostic Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Maynard B Wheeler | Ophthalmology | Concord Ophthalmologic Associates Pa | 248 Pleasant St, Suite 1600, Concord, NH 03301-2588 |
| Maxwell A Snead Iii | Ophthalmology | Concord Ophthalmologic Associates Pa | 248 Pleasant St, Suite 1600, Concord, NH 03301-2588 |
| Herlen J Alencar | Interventional Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Alejandro S. Saranglao Jr. | Pulmonary Disease | Concord Hospital, Inc. | 248 Pleasant St, G100, Concord, NH 03301-2588 |
| Roslyn M Lawrence | Nurse Practitioner | Concord Hospital, Inc. | 248 Pleasant St, G100, Concord, NH 03301-2588 |
| Ashley N Adamovich | Interventional Radiology | Concord Imaging Center | 248 Pleasant St, Concord, NH 03301-2548 |
| Bobbie-jo M. Rean | Nurse Practitioner | Concord Hospital, Inc. | 248 Pleasant St, G100, Concord, NH 03301-2588 |
| Catherine A. Stadler | Pulmonary Disease | Concord Hospital, Inc. | 248 Pleasant St, G100, Concord, NH 03301-2588 |
| Christie Morse | Ophthalmology | Concord Ophthalmologic Associates Pa | 248 Pleasant St, Suite 1600, Concord, NH 03301-2588 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Zollo | Psychologist, Clinical | 18 N St, Suite 303, Concord, NH 03301 | |
| Nicole S Ross | Neuropsychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Anne K Pike | Psychologist, Clinical | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Diana Weiner | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Dawn M Decosta | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Rebecca Neal | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Leanne Booth | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Percy Ballantine Ii | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Jeffrey Fetter | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Erica J Fasano | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Find all physicians in zip 03301 | |||
| City | CONCORD |
| Zip Code | 03301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CONCORD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Marianne Reed Petruccelli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.