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Contact Information

MICHAEL PETRUSKA, OD
1326 BELVIDERE RD
PHILLIPSBURG, NJ08865-2004
 Phone: 908-454-2300
 Fax: 908-454-1661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL PETRUSKA · (Male)

NPI # 1508970856
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/17/2006
Last updated 05/14/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 27OA00616700
  • NJ Medicaid 0180025
Hospital affiliation(s) Not Available
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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