Petti, Theodore A
Petti, Theodore A is an sole proprietor health care provider with primary practice located at 671 Hoes Ln University Behavioral Healthcare Room C-202, Piscataway NJ 08854-5627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Petti, Theodore A can be contacted via phone (732) 235-2129.Contact Information
Primary practice address
671 Hoes Ln University Behavioral Healthcare Room C-202
Piscataway NJ 08854-5627
Phone: (732) 235-2129
Fax: (732) 235-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 25MA07587000 | New Jersey |
Profile Details
| NPI number | 1033170121 |
|---|---|
| LBN Legal business name | Petti, Theodore A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 3rd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033170121 | NPPES |
| New Jersey | MEDICAID | 0013382 |
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