Pietras, Jerome R.
Pietras, Jerome R. is an individual health care provider with primary practice located at 570 Egg Harbor Rd Ste A-1, Sewell NJ 08080-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pietras, Jerome R. can be contacted via phone (856) 582-9645.Contact Information
Primary practice address
570 Egg Harbor Rd Ste A-1
Sewell NJ 08080-2359
Phone: (856) 582-9645
Fax: (856) 218-3030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MB02740200 | New Jersey |
Profile Details
| NPI number | 1699717637 |
|---|---|
| LBN Legal business name | Pietras, Jerome R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 16th, 2012 - about 12 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 | 1699717637 | NPPES |
| New Jersey | MEDICAID | 203770 |
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