Active NPIIndividual provider

Donald Petroski, MD

Internal Medicine, Gastroenterology in Willingboro, New Jersey

NPI Number1336132489
Practice location
1113 Hospital Drive, Suite 305, Willingboro, NJ 08046
Fax
609-835-3628
Last updated
October 26, 2020

Donald Petroski is an Internal Medicine, Gastroenterology based in Willingboro, NJ. Donald Petroski practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Donald Petroski is 1336132489 and holds a License No. MD012651E (PA). The current practice location address for Donald Petroski is 1113 Hospital Drive, Suite 305, Willingboro, NJ 08046 and can be reached out via phone at 609-835-3624 and via fax at 609-835-3628.

Provider Profile Details

NPI Number
1336132489
Provider Name
Donald Petroski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1113 Hospital Drive, Suite 305, Willingboro, NJ 08046
Phone Number
609-835-3624
Fax Number
609-835-3628
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2005
Last Update Date
October 26, 2020
Certification Date
October 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1113 Hospital Drive
Suite 305
Willingboro, NJ 08046
Zip
08046
Phone Number
609-835-3624
Fax Number
609-835-3628
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number (1)
MD012651E
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA029690
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
MD012651E
License State (3)
PA
Taxonomy (3)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (4)
25MA029690
License State (4)
NJ
Taxonomy (4)
Internal Medicine, Gastroenterology · 207RG0100X · 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 Donald Petroski, MD?

The NPI number of Donald Petroski, MD is 1336132489. It was assigned on August 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Donald Petroski, MD?

Donald Petroski, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PA under license number MD012651E.

Where does Donald Petroski, MD practice?

The practice location is 1113 Hospital Drive, Suite 305, Willingboro, NJ 08046. The office can be reached at 609-835-3624 (phone) or 609-835-3628 (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 1336132489 directly on the NPPES registry website.

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