Petrosino, Paula D

Petrosino, Paula D is an sole proprietor health care provider with primary practice located at 129 Central Ave , Hasbrouck Heights NJ 07604-1306. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Petrosino, Paula D can be contacted via phone (201) 314-2415.

Contact Information

Primary practice address
129 Central Ave Hasbrouck Heights NJ 07604-1306
Phone: (201) 314-2415
Fax: (239) 394-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD01407 New Jersey

Profile Details

NPI number 1811045164
LBN Legal business name Petrosino, Paula D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1811045164 NPPES
New Jersey MEDICAID 1562401

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