Petrsoric, Joseph Ivan

Petrsoric, Joseph Ivan is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Petrsoric, Joseph Ivan can be contacted via phone (201) 837-0727.

Contact Information

Primary practice address
718 Teaneck Rd Teaneck NJ 07666-4245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA10288800 New Jersey

Profile Details

NPI number 1881937613
LBN Legal business name Petrsoric, Joseph Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Sep 9th, 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 1881937613 NPPES
New Jersey MEDICAID 0628441

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