Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edmund Stephen Petrilli, MD, PC

Organization Gynecology Physician · NPI 1407037500

Edmund Stephen Petrilli, MD, PC is a Gynecology Physician in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8650 Sudley Rd Ste 200
Manassas, VA 20110-4419
Phone: (703) 392-5157
Fax: (703) 392-1347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 0101022700 (VA)
Gynecology Physician Taxonomy 207VG0400X · Licence 0101022700 (VA)

Record details

NPI number1407037500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edmund Petrilli — President · (703) 830-8403
NPI enumeratedNovember 16, 2007
Last updated in NPPESNovember 19, 2007
Mailing address8650 Sudley Rd, Suite 200, Manassas, VA 20110-4419

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