Active NPIIndividual provider

Dr. Jeffrey Petrozzino, MD

Pediatrics in West Deptford, New Jersey

NPI Number1083852958
Practice location
646 Kings Hwy, West Deptford, NJ 08096
Fax
856-879-2855
Last updated
October 17, 2018

Jeffrey Petrozzino is a Pediatrics based in West Deptford, NJ. Jeffrey Petrozzino practices in West Deptford, NJ and has the professional credentials of MD. The NPI Number for Jeffrey Petrozzino is 1083852958 and holds a License No. FP4314477 (NJ). The current practice location address for Jeffrey Petrozzino is 646 Kings Hwy, West Deptford, NJ 08096 and can be reached out via phone at 856-879-2887 and via fax at 856-879-2855.

Provider Profile Details

NPI Number
1083852958
Provider Name
Jeffrey Petrozzino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
646 Kings Hwy, West Deptford, NJ 08096
Phone Number
856-879-2887
Fax Number
856-879-2855
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
January 29, 2009
Last Update Date
October 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
646 Kings Hwy
West Deptford, NJ 08096
Zip
08096
Phone Number
856-879-2887
Fax Number
856-879-2855
West Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
646 Kings Hwy
West Deptford, NJ 08096-3145
City
West Deptford
State
NJ
Zip
08096-3145
Phone Number
856-879-2887
Fax Number
856-879-2855

License Information

License Number (1)
FP4314477
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
A90372
License State (2)
CA
Taxonomy (2)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
License Number (3)
233095
License State (3)
NY
Taxonomy (3)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
License Number (4)
FP4314477
License State (4)
NJ
Taxonomy (4)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
License Number (5)
25MA09417600
License State (5)
NJ
Taxonomy (5)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
License Number (6)
25MA09417600
License State (6)
NJ
Taxonomy (6)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeffrey Petrozzino, MD?

The NPI number of Dr. Jeffrey Petrozzino, MD is 1083852958. It was assigned on January 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey Petrozzino, MD?

Dr. Jeffrey Petrozzino, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number FP4314477.

Where does Dr. Jeffrey Petrozzino, MD practice?

The practice location is 646 Kings Hwy, West Deptford, NJ 08096. The office can be reached at 856-879-2887 (phone) or 856-879-2855 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083852958 directly on the NPPES registry website.

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