Provider Demographics
NPI:1669143749
Name:PETROWITZ, DANIELLE LINDSAY (PA-C)
Entity type:Individual
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First Name:DANIELLE
Middle Name:LINDSAY
Last Name:PETROWITZ
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:1493 CAMBRIDGE STREET
Mailing Address - Street 2:MACHT B-10
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1047
Mailing Address - Country:US
Mailing Address - Phone:617-665-3000
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE STREET
Practice Address - Street 2:MACHT B-10
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1047
Practice Address - Country:US
Practice Address - Phone:617-665-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2025-05-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant