Petranto, Russell D

Petranto, Russell D is an individual health care provider with primary practice located at 54 Bey Lea Rd Suite 1, Toms River NJ 08753-2891. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Petranto, Russell D can be contacted via phone (732) 505-9728.

Contact Information

Primary practice address
54 Bey Lea Rd Suite 1 Toms River NJ 08753-2891
Phone: (732) 505-9728
Fax: (732) 505-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD2031 New Jersey

Profile Details

NPI number 1538160619
LBN Legal business name Petranto, Russell D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538160619 NPPES
New Jersey MEDICAID 4622707

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