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Contact Information

ROBERT C PETRUCELLI, MD, PA
66 SUNSET STRIP
STE 208
SUCCASUNNA, NJ07876
 Phone: 973-252-0333
 Fax: 973-252-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROBERT C PETRUCELLI · (Male)

NPI Number 1912976267
Status Active
Credentials MD, PA
Entity Individual
Enumeration date 03/17/2006
Last updated 03/31/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA03332600
  • NJ Other 110942 MEDICARE PTAN
Hospital affiliation(s)
  • SAINT CLARE'S HOSPITAL - (Acute Care)
    25 POCONO ROAD
    DENVILLE, NJ 07834
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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