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

Mariarita P Petrillo-Bolanos, MD

Individual provider Emergency Medicine Physician · NPI 1700843919

Mariarita P Petrillo-Bolanos, MD is an Emergency Medicine in Dartmouth, Massachusetts. Graduated from Boston University School of Medicine in 1994, 32 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
32
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone: (508) 996-3991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 237a State Rd, Dartmouth, MA 02747-2612 — (508) 996-3991

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 202570 (MA)

Record details

NPI number1700843919
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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