Search › Massachusetts › 163WA0400X
Dana Petrosevich
NPI 1285470625 · on the registry since 2024
Practice
- Address
- 180 Centre St
Brockton, MA 02302 - Phone
- (508) 586-6300
- Organisation at this address
- Habit Opco
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 71
Registry record
- Primary taxonomy
- 163WA0400X
163WA0400X
- Also registered as
- 163WP0809X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts