Gregory B Persichetti, DO
Dermatology, MOHS-Micrographic Surgery in Sewell, New Jersey
1518901925- Practice location
- 100 Kings Way E, Suite A-3, Sewell, NJ 08080-2237
- Phone
- 856-589-3331
- Fax
- 856-589-3416
- Last updated
- December 3, 2015
Gregory Blase Persichetti is a Dermatology, MOHS-Micrographic Surgery based in Sewell, NJ. Gregory Blase Persichetti practices in Sewell, NJ and has the professional credentials of DO. The NPI Number for Gregory Blase Persichetti is 1518901925 and holds a License No. 25MB08242000 (NJ). The current practice location address for Gregory Blase Persichetti is 100 Kings Way E, Suite A-3, Sewell, NJ 08080-2237 and can be reached out via phone at 856-589-3331 and via fax at 856-589-3416.
Provider Profile Details
- NPI Number
- 1518901925
- Provider Name
- Gregory Blase Persichetti
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Kings Way E, Suite A-3, Sewell, NJ 08080-2237
- Phone Number
- 856-589-3331
- Fax Number
- 856-589-3416
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 15, 2006
- Last Update Date
- December 3, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Kings Way E
Suite A-3
Sewell, NJ 08080-2237 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2237
- Phone Number
- 856-589-3331
- Fax Number
- 856-589-3416
Provider Business Mailing Address Details
- Address
- 100 Kings Way E
Suite A-3
Sewell, NJ 08080-2237 - City
- Sewell
- State
- NJ
- Zip
- 08080-2237
- Phone Number
- 856-589-3331
- Fax Number
- 856-589-3416
License Information
- License Number (1)
- 25MB08242000
- License State (1)
- NJ
- Taxonomy (1)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
- License Number (2)
- 08012552
- License State (2)
- PA
- Taxonomy (2)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Gregory B Persichetti, DO?
The NPI number of Gregory B Persichetti, DO is 1518901925. It was assigned on June 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Gregory B Persichetti, DO?
Gregory B Persichetti, DO is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NJ under license number 25MB08242000.
Where does Gregory B Persichetti, DO practice?
The practice location is 100 Kings Way E, Suite A-3, Sewell, NJ 08080-2237. The office can be reached at 856-589-3331 (phone) or 856-589-3416 (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 1518901925 directly on the NPPES registry website.