Individual
CRAIG MICHAEL PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
43 JOHN ST, MORRISTOWN, NJ 07960-4237
(973) 631-5234
Mailing address
41 W JUNIPER LN, GLEN GARDNER, NJ 08826-6422
(908) 386-8623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07106000
NJ
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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