Petroski, Donald

Petroski, Donald is an individual health care provider with primary practice located at 1113 Hospital Drive Suite 305, Willingboro NJ 08046. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Petroski, Donald can be contacted via phone (609) 835-3624.

Contact Information

Primary practice address
1113 Hospital Drive Suite 305 Willingboro NJ 08046
Phone: (609) 835-3624
Fax: (609) 835-3628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD012651E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA029690 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD012651E Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA029690 New Jersey

Profile Details

NPI number 1336132489
LBN Legal business name Petroski, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 26th, 2020 - about 4 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 1336132489 NPPES
New Jersey MEDICAID 1123203

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