David J Petullo (NPI# 1003890344, PAC ID# 7012951536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003890344 |
| PAC ID by PECOS | 7012951536 |
| Professional Enrollment ID | I20050615000928 |
| Full Name | David J Petullo |
| Organization Legal Name | RELIANT MEDICAL GROUP, INC |
| Address |
630 Plantation St Worcester MA 01605-2038 |
| Phone Number | 5088520600 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597755322 |
| Number of Group Practice Members | 493 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220001 | HEALTHALLIANCE HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 630 Plantation St, Worcester, MA 01605-2038 | 5088520600 | RELIANT MEDICAL GROUP, INC |
| Organization Legal Name | RELIANT MEDICAL GROUP, INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa V. Kusy | Physical Therapy | Reliant Medical Group, Inc | 135 Gold Star Blvd, Worcester, MA 01606-2738 |
| Nemara Dean Jones | Nurse Practitioner | Reliant Medical Group, Inc | 94 Elm St, Millbury, MA 01527-2692 |
| Robin K. Gay | Clinical Psychologist | Reliant Medical Group, Inc | 370 Lunenburg St, Fitchburg, MA 01420-4541 |
| Maria Abruzzo | Rheumatology | Reliant Medical Group, Inc | 165 Mill St, Leominster, MA 01453-3289 |
| Robert A Yood | Rheumatology | Reliant Medical Group, Inc | 425 N Lake Ave, Worcester, MA 01605-2086 |
| John C Batbouta | Internal Medicine | Reliant Medical Group, Inc | 35 Millbury St, Auburn, MA 01501-3203 |
| Joseph H Cohen Iii | Endocrinology | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Laura J Bessette | Internal Medicine | Reliant Medical Group, Inc | 123 Summer St, Worcester, MA 01608-1216 |
| Julia S. Miles | Nurse Practitioner | Reliant Medical Group, Inc | 407 Main St, Spencer, MA 01562-1909 |
| Darcy P Renaghan | Nurse Practitioner | Reliant Medical Group, Inc | 123 Summer St, Worcester, MA 01608-1216 |
| Street Address |
630 PLANTATION ST |
| City | WORCESTER |
| State | MA |
| Zip | 01605-2038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph H Cohen Iii | Endocrinology | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Aileen C Cartier | Nurse Practitioner | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Michele A Taft | Occupational Therapy | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Frederick P Georgian | Internal Medicine | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Alicja M Rudnicka | Dermatology | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Anne M Kaune | Nurse Practitioner | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Jocelyne M Durrenberger | Nurse Practitioner | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Susan L Abend | Endocrinology | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Laura A Hovsepian | Nurse Practitioner | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Robert J Cavanaugh | Internal Medicine | Reliant Medical Group, Inc | 630 Plantation St, Worcester, MA 01605-2038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Cirillo | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Peter W Moran | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Theresa G Boothby | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Kathryn A Mcgrath | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lea C Murphy | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Leena S Shah | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Daylin A. Chaplin | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lauren E Gray | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lisa A Mcniff | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Eric M Severi | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Find all physicians in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WORCESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David J Petullo.
| 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.