Individual
CHRISTINE FERANDOS PETROZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
535 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2807
(856) 228-1061
(856) 228-1907
Mailing address
535 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2807
(856) 228-1061
(856) 228-1907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09640300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AFE 89730 (RETIRED)
MEDICAL BOARD OF CALIFORNIA
CA
01
—
ME 102029
FL STATE DEPARTMENT OF HEALTH
FL
Enumeration date
04/29/2008
Last updated
03/07/2023
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