Organization
ORTHOPAEDIC TRAUMA INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY V PETROSINI M.D. (M.D)
(732) 974-0404
Entity
Organization
Contact information
Practice address
2315 HIGHWAY 34, SUITE D, MANASQUAN, NJ 08736-1444
(732) 974-0404
(732) 974-2653
Mailing address
2315 HIGHWAY 34, SUITE D, MANASQUAN, NJ 08736-1444
(732) 974-0404
(732) 974-2653
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
25MA08156400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT5898
RAILROAD MEDICARE
—
Enumeration date
06/07/2012
Last updated
06/03/2013
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