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Dr. Jason Michael Petrungaro, MD
Plastic and Reconstructive Surgery Physician in Munster, Indiana
NPI 1871765057

Jason Michael Petrungaro is a Plastic and Reconstructive Surgery Physician based in Munster, IN and is specialized in Plastic and Reconstructive Surgery. Jason Michael Petrungaro practices in Munster, IN and has the professional credentials of MD. The NPI Number for Jason Michael Petrungaro is 1871765057 and holds a License No. N9993 (Indiana).

The current practice location address for Jason Michael Petrungaro is 800 Macarthur Blvd, Munster, IN and can be reached out via phone at 219-836-1163 and via fax at 844-270-6677.

Location: 800 Macarthur Blvd, Munster, IN, 46321-2917
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Provider Profile Details
NPI Number
1871765057
Provider Name
Jason Michael Petrungaro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Macarthur Blvd, Munster, IN, 46321-2917
Phone Number
219-836-1163
Fax Number
844-270-6677
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8DT481 01 TX BLUE CROSS BLUE SHIELD
MEDICARE 01 IN IN2244001
P01602561 01 IN RR MEDICARE
0914915 01 IN BCBS IN
institution
Provider Business Practice Location Address Details
Address
800 Macarthur Blvd
City
State
Zip
46321-2917
Phone Number
219-836-1163
Fax Number
844-270-6677
person
Provider Business Mailing Address Details
Address
800 Macarthur Blvd
City
State
Zip
46321-2917
Phone Number
219-836-1163
Fax Number
844-270-6677
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
N9993 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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