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

Mr. Andrew G Petlock, PA

Individual provider Physician Assistant · NPI 1972381077

Mr. Andrew G Petlock, PA is a Physician Assistant in Hudson, Massachusetts. Qualified in 2024, 2 years ago. Practices with Kablotsky Internal Medicine PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Cabot Rd Ste 101
Hudson, MA 01749-2963
Phone: (978) 562-3536
Fax: (978) 562-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972381077
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 19, 2023
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kablotsky Internal Medicine Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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